A case of hand reconstruction during primary surgical treatment

More than one third of the damage to the human body falls on the hand and fingers. The restoration of the integrity of the latter is often very difficult due to anatomical and functional complexity.

Traumatic Dorsal Hand Reconstruction through A free Anterolateral Thigh Flap, Induced Membrane Technique, Toe Joint Transfer, and Joint Prosthesis

Introduction:This study presents a case of post-traumatic dorsal hand reconstruction by describing the surgical technique in several stages and the outcome. Case report:It involves a patient with loss of cutaneous tissue, loss of bone, and tendon in the dorsal hand and fingers following a car accident. He was treated on a four-stage hand salvage and reconstruction. Stage one fulfilled in emergency involved K-wire and osseous filling through acrylic cement, hunter tendon rods, and a free anterolateral thigh flap. The second stage at 2 months involved osseous grafts and finger joint prostheses. The third stage time at 7 months involved a toe joint transfer. The last stage at 11 months involved extensor tendons graft reconstruction. The functional outcome at 2 years is acceptable. Conclusion:The post-traumatic dorsal hand reconstruction requires several techniques to reconstruct the losses of substances observed and this in several stages. It allowed to have an acceptable hand function. Keywords:Hand injuries, induced membrane, finger joint prosthesis, tendon transfer.