Reconstruction of extra-large severe punching hole injury in the palm: A case report

A 48-year-old man sustained a severe punching hole injury of 8 cm in diameter on the palm of his left hand using a punching instrument (for making the bottom of drink cans), and his middle and ring fingers were almost amputated. A flow-through type immediate ALT (anterolateral thigh) flap was used t...

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Detalles Bibliográficos
Autores principales: Hihara, Masakatsu, Takeji, Kota, Mitsui, Toshihito, Fujita, Maako, Satou, Ai, Himejima, Tomoki, Kakudo, Natsuko, Kusumoto, Kenji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8965141/
https://www.ncbi.nlm.nih.gov/pubmed/35368722
http://dx.doi.org/10.1016/j.tcr.2022.100638
Descripción
Sumario:A 48-year-old man sustained a severe punching hole injury of 8 cm in diameter on the palm of his left hand using a punching instrument (for making the bottom of drink cans), and his middle and ring fingers were almost amputated. A flow-through type immediate ALT (anterolateral thigh) flap was used to bypass the distal blood flow and a titanium plate for mandibular reconstruction and plantar glabrous skin were used to preserve the floating amputated fingers. As there has been no report of reconstruction of a punching hole in the palmar region that exceeds 8 cm in diameter, this report is novel and educational.

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