Reconstructive Principles for the Metacarpal HandCase Report
- Iker Miguel Escuredo 1
- Guillermo Ibarrondo Arzua 1
- Juan José García Gutierrez 1
- 1 Plastic Aesthetic and Reconstructive Surgery Department, Cruces University Hospital, Barakaldo, Bizkaia, Spain
ISSN: 0210-2323
Datum der Publikation: 2021
Ausgabe: 49
Nummer: 2
Seiten: 160-164
Art: Artikel
Andere Publikationen in: Revista iberoamericana de cirugía de la mano
Zusammenfassung
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. Toeto-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.