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Small Finger Osteocutaneous Fillet Flap for Reconstruction in Ring Finger Trauma
Finger amputations are common injuries which result in significant long-term morbidity and loss of function. In this report, we describe a creative operative solution for a 21-year-old man who was in a motorcycle crash and sustained severely comminuted open fractures of the left small and ring finge...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846318/ https://www.ncbi.nlm.nih.gov/pubmed/31772900 http://dx.doi.org/10.1097/GOX.0000000000002477 |
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author | Parent, Brodie Camison, Liliana Barreiro, Guilherme Spiess, Alexander |
author_facet | Parent, Brodie Camison, Liliana Barreiro, Guilherme Spiess, Alexander |
author_sort | Parent, Brodie |
collection | PubMed |
description | Finger amputations are common injuries which result in significant long-term morbidity and loss of function. In this report, we describe a creative operative solution for a 21-year-old man who was in a motorcycle crash and sustained severely comminuted open fractures of the left small and ring fingers with severe crush injury and soft tissue avulsion. Of the tissues and bones in the small finger, only the distal half of the proximal phalanx remained intact and was vascularized via the remaining ulnar neurovascular bundle. In the ring finger, the extensor mechanism and ulnar neurovascular bundle were avulsed and the distal half of the proximal phalanx was absent, but the flexor tendons were intact. A small finger ray amputation was performed. Then, using an osteocutaneous fillet flap based on the ulnar neurovascular bundle from the small finger, the bony gap and soft tissue deficits in the ring finger were reconstructed. The ring finger extensor tendon was then reconstructed. Subsequently, the patient had evidence of bony union on follow-up X-rays and he had a sensate filet flap over the ulnar aspect of the ring finger. This case demonstrates the creative use of a “spare-parts” osteocutaneous fillet flap in the reconstruction of a traumatic finger injury. This example highlights the importance of assessing all available reconstructive options to avoid the morbidity of a finger amputation. |
format | Online Article Text |
id | pubmed-6846318 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-68463182019-11-26 Small Finger Osteocutaneous Fillet Flap for Reconstruction in Ring Finger Trauma Parent, Brodie Camison, Liliana Barreiro, Guilherme Spiess, Alexander Plast Reconstr Surg Glob Open Case Report Finger amputations are common injuries which result in significant long-term morbidity and loss of function. In this report, we describe a creative operative solution for a 21-year-old man who was in a motorcycle crash and sustained severely comminuted open fractures of the left small and ring fingers with severe crush injury and soft tissue avulsion. Of the tissues and bones in the small finger, only the distal half of the proximal phalanx remained intact and was vascularized via the remaining ulnar neurovascular bundle. In the ring finger, the extensor mechanism and ulnar neurovascular bundle were avulsed and the distal half of the proximal phalanx was absent, but the flexor tendons were intact. A small finger ray amputation was performed. Then, using an osteocutaneous fillet flap based on the ulnar neurovascular bundle from the small finger, the bony gap and soft tissue deficits in the ring finger were reconstructed. The ring finger extensor tendon was then reconstructed. Subsequently, the patient had evidence of bony union on follow-up X-rays and he had a sensate filet flap over the ulnar aspect of the ring finger. This case demonstrates the creative use of a “spare-parts” osteocutaneous fillet flap in the reconstruction of a traumatic finger injury. This example highlights the importance of assessing all available reconstructive options to avoid the morbidity of a finger amputation. Wolters Kluwer Health 2019-10-29 /pmc/articles/PMC6846318/ /pubmed/31772900 http://dx.doi.org/10.1097/GOX.0000000000002477 Text en Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Parent, Brodie Camison, Liliana Barreiro, Guilherme Spiess, Alexander Small Finger Osteocutaneous Fillet Flap for Reconstruction in Ring Finger Trauma |
title | Small Finger Osteocutaneous Fillet Flap for Reconstruction in Ring Finger Trauma |
title_full | Small Finger Osteocutaneous Fillet Flap for Reconstruction in Ring Finger Trauma |
title_fullStr | Small Finger Osteocutaneous Fillet Flap for Reconstruction in Ring Finger Trauma |
title_full_unstemmed | Small Finger Osteocutaneous Fillet Flap for Reconstruction in Ring Finger Trauma |
title_short | Small Finger Osteocutaneous Fillet Flap for Reconstruction in Ring Finger Trauma |
title_sort | small finger osteocutaneous fillet flap for reconstruction in ring finger trauma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846318/ https://www.ncbi.nlm.nih.gov/pubmed/31772900 http://dx.doi.org/10.1097/GOX.0000000000002477 |
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