Complex reconstruction of the dorsal hand using the induced membrane technique associated with bone substitute: A case report.

ABSTRACT:

Introduction

High-energy trauma of the hand often causes tissue loss involving bone, tendon and skin and is sometimes accompanied by devascularization of digits. Bone stabilization is the first step in the management of such injuries.

Materials and methods

A young patient presented composite tissue loss of the dorsum of his right (dominant) hand following an accident with a surface planer. Tissue loss involved the diaphyses of the first 4 metacarpals, tendons and skin with almost complete amputation of the 3rd finger. Bone stabilization comprised osteosynthesis using pins associated with cement to fill the bone defect. Hunter tendon rods were used for tendon repair and a pedicle groin flap (McGregor) was used to achieve skin coverage. The cement was replaced with autologous

SUBMITTER: Moris V 

PROVIDER: S-EPMC4827270 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature