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One-stage Reconstruction with the Composite Anterolateral Thigh Flap for Skin and Extensor Tendon Defects of the Thumb by Snakebite
Venomous snakebites can cause severe injury. The loss of tendon and skin of the hand is incredibly challenging for the surgeon. A single-staged reconstruction with the free composite anterolateral thigh flap is an acceptable option for a complex thumb injury. In this case, reconstruction for a 23-ye...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584292/ https://www.ncbi.nlm.nih.gov/pubmed/37859638 http://dx.doi.org/10.1097/GOX.0000000000005347 |
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author | Sơn, Trần Thiết Chiến, Vũ Hồng Nghĩa, Phan Tuấn Trọng, Nguyễn Hữu Nhật, Phạm Kiến Thúy, Tạ Thị Hồng Dung, Phạm Thị Việt |
author_facet | Sơn, Trần Thiết Chiến, Vũ Hồng Nghĩa, Phan Tuấn Trọng, Nguyễn Hữu Nhật, Phạm Kiến Thúy, Tạ Thị Hồng Dung, Phạm Thị Việt |
author_sort | Sơn, Trần Thiết |
collection | PubMed |
description | Venomous snakebites can cause severe injury. The loss of tendon and skin of the hand is incredibly challenging for the surgeon. A single-staged reconstruction with the free composite anterolateral thigh flap is an acceptable option for a complex thumb injury. In this case, reconstruction for a 23-year-old patient with a complex cobra-induced thumb injury had failed to cover the defect with a skin graft. There was a limitation in choice, and the patient was treated with the free composite anterolateral thigh (ALT) flap and fascia lata flap in one stage to reconstruct both the extensor tendon and the soft tissue coverage. The flap was well-vascularized, and no complications were reported. A single-stage reconstruction with a composite ALT flap with vascularized fascia was chosen as a suitable alternative. The result is satisfying both aesthetically and functionally. This technique can help shorten treatment time and restore function quickly, allowing patients to return to work in less time. The disadvantages of this technique are flap thickness, which can affect finger movement and aesthetics. The composite ALT flap with vascularized fascia lata shows that it is a reliable procedure for single-staged reconstruction, especially combined with the tendon preparation in the hand. |
format | Online Article Text |
id | pubmed-10584292 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-105842922023-10-19 One-stage Reconstruction with the Composite Anterolateral Thigh Flap for Skin and Extensor Tendon Defects of the Thumb by Snakebite Sơn, Trần Thiết Chiến, Vũ Hồng Nghĩa, Phan Tuấn Trọng, Nguyễn Hữu Nhật, Phạm Kiến Thúy, Tạ Thị Hồng Dung, Phạm Thị Việt Plast Reconstr Surg Glob Open Hand Venomous snakebites can cause severe injury. The loss of tendon and skin of the hand is incredibly challenging for the surgeon. A single-staged reconstruction with the free composite anterolateral thigh flap is an acceptable option for a complex thumb injury. In this case, reconstruction for a 23-year-old patient with a complex cobra-induced thumb injury had failed to cover the defect with a skin graft. There was a limitation in choice, and the patient was treated with the free composite anterolateral thigh (ALT) flap and fascia lata flap in one stage to reconstruct both the extensor tendon and the soft tissue coverage. The flap was well-vascularized, and no complications were reported. A single-stage reconstruction with a composite ALT flap with vascularized fascia was chosen as a suitable alternative. The result is satisfying both aesthetically and functionally. This technique can help shorten treatment time and restore function quickly, allowing patients to return to work in less time. The disadvantages of this technique are flap thickness, which can affect finger movement and aesthetics. The composite ALT flap with vascularized fascia lata shows that it is a reliable procedure for single-staged reconstruction, especially combined with the tendon preparation in the hand. Lippincott Williams & Wilkins 2023-10-18 /pmc/articles/PMC10584292/ /pubmed/37859638 http://dx.doi.org/10.1097/GOX.0000000000005347 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Hand Sơn, Trần Thiết Chiến, Vũ Hồng Nghĩa, Phan Tuấn Trọng, Nguyễn Hữu Nhật, Phạm Kiến Thúy, Tạ Thị Hồng Dung, Phạm Thị Việt One-stage Reconstruction with the Composite Anterolateral Thigh Flap for Skin and Extensor Tendon Defects of the Thumb by Snakebite |
title | One-stage Reconstruction with the Composite Anterolateral Thigh Flap for Skin and Extensor Tendon Defects of the Thumb by Snakebite |
title_full | One-stage Reconstruction with the Composite Anterolateral Thigh Flap for Skin and Extensor Tendon Defects of the Thumb by Snakebite |
title_fullStr | One-stage Reconstruction with the Composite Anterolateral Thigh Flap for Skin and Extensor Tendon Defects of the Thumb by Snakebite |
title_full_unstemmed | One-stage Reconstruction with the Composite Anterolateral Thigh Flap for Skin and Extensor Tendon Defects of the Thumb by Snakebite |
title_short | One-stage Reconstruction with the Composite Anterolateral Thigh Flap for Skin and Extensor Tendon Defects of the Thumb by Snakebite |
title_sort | one-stage reconstruction with the composite anterolateral thigh flap for skin and extensor tendon defects of the thumb by snakebite |
topic | Hand |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584292/ https://www.ncbi.nlm.nih.gov/pubmed/37859638 http://dx.doi.org/10.1097/GOX.0000000000005347 |
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