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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2021; 49(02): e160-e164
DOI: 10.1055/s-0041-1731769
Case Report | Relato de Caso

Reconstructive Principles for the Metacarpal Hand: Case Report

Artikel in mehreren Sprachen: English | español
Iker Miguel Escuredo
1   Plastic Aesthetic and Reconstructive Surgery Department, Cruces University Hospital, Barakaldo, Bizkaia, Spain
,
Guillermo Ibarrondo Arzua
1   Plastic Aesthetic and Reconstructive Surgery Department, Cruces University Hospital, Barakaldo, Bizkaia, Spain
,
Juan José García Gutierrez
1   Plastic Aesthetic and Reconstructive Surgery Department, Cruces University Hospital, Barakaldo, Bizkaia, Spain
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Abstract

Metacarpal hand is one of the most devastating upper-extremity lesions. We report a case of a multidigit amputation corresponding to a Wei et al.[5] IA metacarpal hand in a 56 year-old-male. He underwent a sequential toe-to-hand transfer to the third and fourth radii. Reconstruction of the metacarpal hand, either in an acute or deferred presentation, must consider some reconstructive principles, including the identification of the structures to be spared and the coverage strategies for the acute stage. Toe-to-hand transfer is the preferred technique when replantation is not an option. It is critical to know which structures should be transferred to which positions, as well as to adapt the reconstructive plan to the characteristics from each patient.

Keywords

metacarpal hand - toe-to-hand - amputation


Publikationsverlauf

Eingereicht: 20. April 2021

Angenommen: 30. April 2021

Artikel online veröffentlicht:
13. Dezember 2021

© 2021. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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