Document Detail


Free vascularized joint transfer from the nonreplantable digit as a free flap for primary reconstruction of complex hand injury.
MedLine Citation:
PMID:  15465247     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report our experience in treating a a patient with an electrical saw injury to the right hand that resulted in incomplete amputation of the ring and small fingers at the metacarpophalangeal (MCP) joint with segmental tissue loss. Ray amputation of the small finger was performed because of extensive tissue loss. The proximal interphalangeal joint of the nonreplantable small finger was transferred as a fillet flap for primary reconstruction of the severely damaged MCP joint of the ring finger after revascularization. Two years after surgery active range of motion of the reconstructed MCP joint was 35 degrees extension to 85 degrees flexion with no instability or pain.
Authors:
Yasunori Hattori; Kazuteru Doi; Semih Takka; Keisuke Ikeda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  29     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-10-06     Completed Date:  2005-04-22     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  931-5     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Ogori Daiichi General Hospital, Ogori, Yamaguchi, Japan.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Occupational*
Amputation, Traumatic / surgery
Blood Vessels / transplantation
Bone Transplantation
Finger Injuries / surgery
Finger Joint / blood supply,  transplantation*
Fingers / blood supply,  transplantation*
Hand Injuries / surgery*
Humans
Male
Metacarpophalangeal Joint / blood supply,  injuries,  surgery
Middle Aged
Range of Motion, Articular
Skin Transplantation
Tendon Injuries / surgery*
Tendons / transplantation
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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