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Hand Allograft Saved by an Ultrathin Groin Flap

We report a case of a young double-hand allotransplant patient who presented with a full-thickness skin necrosis of the dorsum of the left hand after vascular compromise of the allotransplantation. Considering the lack of viable dorsal tissue overlying the extensor tendons and the need for early han...

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Detalles Bibliográficos
Autores principales: Château, Joseph, Gazarian, Aram, Boucher, Fabien, Badet, Lionel, Braye, Fabienne, Saint-Cyr, Michel, Mojallal, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055000/
https://www.ncbi.nlm.nih.gov/pubmed/27757334
http://dx.doi.org/10.1097/GOX.0000000000000806
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author Château, Joseph
Gazarian, Aram
Boucher, Fabien
Badet, Lionel
Braye, Fabienne
Saint-Cyr, Michel
Mojallal, Ali
author_facet Château, Joseph
Gazarian, Aram
Boucher, Fabien
Badet, Lionel
Braye, Fabienne
Saint-Cyr, Michel
Mojallal, Ali
author_sort Château, Joseph
collection PubMed
description We report a case of a young double-hand allotransplant patient who presented with a full-thickness skin necrosis of the dorsum of the left hand after vascular compromise of the allotransplantation. Considering the lack of viable dorsal tissue overlying the extensor tendons and the need for early hand rehabilitation, an ultrathin pedicled groin flap was used for the coverage. This procedure resulted in salvaging the allotransplantation, and the patient was able to successfully return to work after his surgery. To our knowledge, this is the only case of an upper extremity allotransplant salvaged by a pedicled flap.
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spelling pubmed-50550002016-10-18 Hand Allograft Saved by an Ultrathin Groin Flap Château, Joseph Gazarian, Aram Boucher, Fabien Badet, Lionel Braye, Fabienne Saint-Cyr, Michel Mojallal, Ali Plast Reconstr Surg Glob Open Case Report We report a case of a young double-hand allotransplant patient who presented with a full-thickness skin necrosis of the dorsum of the left hand after vascular compromise of the allotransplantation. Considering the lack of viable dorsal tissue overlying the extensor tendons and the need for early hand rehabilitation, an ultrathin pedicled groin flap was used for the coverage. This procedure resulted in salvaging the allotransplantation, and the patient was able to successfully return to work after his surgery. To our knowledge, this is the only case of an upper extremity allotransplant salvaged by a pedicled flap. Wolters Kluwer Health 2016-09-29 /pmc/articles/PMC5055000/ /pubmed/27757334 http://dx.doi.org/10.1097/GOX.0000000000000806 Text en Copyright © 2016 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved. 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) (http://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.
spellingShingle Case Report
Château, Joseph
Gazarian, Aram
Boucher, Fabien
Badet, Lionel
Braye, Fabienne
Saint-Cyr, Michel
Mojallal, Ali
Hand Allograft Saved by an Ultrathin Groin Flap
title Hand Allograft Saved by an Ultrathin Groin Flap
title_full Hand Allograft Saved by an Ultrathin Groin Flap
title_fullStr Hand Allograft Saved by an Ultrathin Groin Flap
title_full_unstemmed Hand Allograft Saved by an Ultrathin Groin Flap
title_short Hand Allograft Saved by an Ultrathin Groin Flap
title_sort hand allograft saved by an ultrathin groin flap
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055000/
https://www.ncbi.nlm.nih.gov/pubmed/27757334
http://dx.doi.org/10.1097/GOX.0000000000000806
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