Salvage of thumb in a crush injury by a groin flap
DOI:
https://doi.org/10.18203/2349-2902.isj20233938Keywords:
Skin graft, Groin flap, RevascularizationAbstract
The primary function of the hand and fingers is to grasp or manipulate objects of any size or shape with fine touch, strength and the required amount of pressure. The thumb plays a crucial role as unlike other fingers it can work opposite of all digits and carry functions like pinching and grasping, which most of the human activities are dependent on. Crush Injuries of the hand can be severe which can lead to amputation of the digits. Hereby discussing a case of 54-year-old gentleman who met with a road traffic accident with resultant crush injury to the right hand and thumb managed by microsurgery using a groin flap reconstruction of the thumb followed by skeletal stabilization of right-hand digits. The following case report is a concise approach to manage a crush injury with restoration of maximal function of the thumb using a groin flap.
References
Midgley RD, Entin MA. Management of mutilating injuries of the hand. Clin Plast Surg. 1976;3:99-109.
Moran SL, Berger RA. Biomechanics and hand trauma: what you need. Hand Clin. 2003;19:17-31.
Peng YP, Lahiri A. Spare-part surgery. Semin Plast Surg. 2013;27(4):190-7.
Soucacos PN. Indications and selection for digital amputation and replantation. J Hand Surg Br. 2001;26:572-81.
Buchler U. Traumatic soft-tissue defects of the extremities. Implications and treatment guidelines. Arch Orthop Trauma Surg. 1990;109:321-9.
Sabapathy SR, Bajantri B. Indications, selection, and use of distant pedicled flap for upper limb reconstruction. Hand Clin. 2014;30:185-99.
Qing L, Wu P, Liang J, Yu F, Wang C, Tang J. Use of flow-through anterolateral thigh perforator flaps in reconstruction of complex extremity defects. J Reconstr Microsurg. 2015;31:571-8.
Caroli A, Adani R, Castagnetti C, Pancaldi G, Squarzina PB. Dorsalis pedis flap with vascularized extensor tendons for dorsal hand reconstruction. Plast Reconstr Surg. 1993;92:1326-30.
Katsaros J. Indications for free soft-tissue flflap transfer to the upper limb and the role of alternative procedures. Hand Clin. 1992;8:479-507.