Replantation of a traumatically amputated of hand with a destructive forearm segmental injury: a case report

VernacularTitle:前臂节段性毁损手离断伤再植治疗及随访1例
Author: Linqing LI ¹ ; Xiaoju ZHENG ¹ ; Haijun LI ¹ ; Wenbin SONG ¹
Author Information

1. 西安凤城医院手足显微外科，西安　710016
Publication Type:Journal Article
Keywords: Destructive injury; Amputation; Bone defect; Anterolateral thigh chimeric flap; Reconstruction; Flow-through bridging
From: Chinese Journal of Microsurgery 2024;47(6):709-711
CountryChina
Language:Chinese
Abstract: In March 2021, a 46-year old patient who had a traumatically amputated hand with a disfigurement injury of left forearm was admitted to the Department of Hand and Foot Microsurgery, Xi'an Fengcheng Hospital. An emergency surgery was carried out to replant the severed left hand. The surgery included exploration and repair of blood vessels, nerves and tendons, transfer of bone graft as well as reconstruction of soft tissue defects with anterolateral femoral chimeric flap. The replanted hand and transferred flap survived after surgery. Early rehabilitation was conducted. At 9 months postoperative follow-up, the sensations of touch, pain and temperature were recovered. The wrist was in a fused functional position. Function of some digits were restored, and the affected limb could cooperate with the healthy limb to complete the activities of daily life.