Abdominal pocketing for the child’s fingers for hand replantation: A clinical case
- 作者: Bogdanov S.B.1,2, Aristov A.M.1, Kurinnyy S.N.1,2, Nikishev V.A.3, Mukhanov M.L.2, Vedeneeva A.L.2
-
隶属关系:
- Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
- Kuban State Medical University
- City Hospital Resort-City Gelendzhik
- 期: 卷 10, 编号 3 (2022)
- 页面: 271-276
- 栏目: Clinical cases
- ##submission.dateSubmitted##: 27.04.2022
- ##submission.dateAccepted##: 15.07.2022
- ##submission.datePublished##: 13.09.2022
- URL: https://journals.eco-vector.com/turner/article/view/106806
- DOI: https://doi.org/10.17816/PTORS106806
- ID: 106806
如何引用文章
详细
BACKGROUND: The traumatic avulsion of fingers is a severe injury that requires emergency replantation. In the case of crush mechanism and degloving, direct vessel repair, and reconstruction may be impossible. It appears fair to use indirect revascularization by enveloping the phalanges after osteosynthesis with blood-supplied tissues. The most accessible anatomically and functionally are the lower abdominal flap and abdominal pocketing of the hand; the flap pedicle was cut and the hand was released. Staged surgeries could be required for functional and aesthetic reconstruction of acceptable soft tissue envelop of the hand.
CLINICAL CASE: This is a clinical case of successful treatment of traumatic avulsion of II, III, IV fingers on the right hand by phalanx osteosynthesis and abdominal pocketing. The restoration of the functionally and aesthetically acceptable finger was achieved.
DISCUSSION: There is a high risk of necrosis and stump formation after the replantation of severely injured fingers when there was any possibility for direct vessel repair. Another method is the indirect revascularization by blood vessel ingrowth from the flap through the fracture line. This saves the injured limb segment.
CONCLUSIONS: The presented technique of abdominal pocketing allows the replantation of the avulsed and degloved fingers without microsurgical vascular operation and restores them. It appears fair to recommend this technique as a salvage surgery in the case of severely injured soft tissues of the avulsed hand fingers.
全文:
![受限制的访问](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_lock.png)
作者简介
Sergey Bogdanov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
编辑信件的主要联系方式.
Email: bogdanovsb@mail.ru
ORCID iD: 0000-0001-9573-4776
SPIN 代码: 2465-5462
Scopus 作者 ID: 57202018252
MD, PhD, Dr. Sci. (Med.)
俄罗斯联邦, Krasnodar; KrasnodarAndrey Aristov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Email: aristovam23@mail.ru
ORCID iD: 0000-0001-6202-0590
MD, PhD, Cand. Sci. (Med.)
俄罗斯联邦, KrasnodarSergey Kurinnyy
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
Email: kurin425@mail.ru
ORCID iD: 0000-0002-8780-5308
SPIN 代码: 4181-9484
MD, PhD student
俄罗斯联邦, Krasnodar; KrasnodarVladislav Nikishev
City Hospital Resort-City Gelendzhik
Email: vanik87rus@mail.ru
ORCID iD: 0000-0002-8022-8368
俄罗斯联邦, Gelendzhik, Krasnodar region
Mikhail Mukhanov
Kuban State Medical University
Email: puttiinn@mail.ru
ORCID iD: 0000-0002-9061-6014
SPIN 代码: 3684-9725
MD, PhD, Cand. Sci. (Med.)
俄罗斯联邦, KrasnodarAnastasia Vedeneeva
Kuban State Medical University
Email: alvedeneeva@gmail.com
ORCID iD: 0000-0001-7353-5426
student
俄罗斯联邦, Krasnodar参考
- Bunnell S. Surgery of the hand. 3rd edition. Philadelphia, Montreal: J.B. Lippincott Co.; 1956.
- Belousov AE. Plasticheskaya, rekonstruktivnaya i esteticheskaya khirurgiya. Saint Petersburg: Gippokrat; 1998. (In Russ.)
- Shim H-S, Kim D-H, Kwon H, Jung S-N. Contralateral abdominal pocketing in salvation of replanted fingertips with compromised circulation. The Scientific World Journal. 2014;2014:548687. doi: 10.1155/2014/548687
- Kim KS, Eo SR, Kim DY, et al. A new strategy of fingertip reattachment: Sequential use of microsurgical technique and pocketing of composite graft. Plast Reconstr Surg. 2001;107(1)73–79. doi: 10.1097/00006534-200101000-00012
- Lin T-S, Jeng S-F, Chiang Y-C. Fingertip replantation using the subdermal pocket procedure. Plast Reconstr Surg. 2004;113(1):247–253. doi: 10.1097/01.PRS.0000095950.31223.09
- Sabapathy SR, Venkatramani H, Playa PM. The use of pedicled abdominal flaps for coverage of acute bilateral circumferential degloving injuries of the hand. Trauma Case Reports. 2015;1(3–4):25−31. doi: 10.1016/j.tcr.2015.08.001
- Goertz O, Kapalschinski N, Daigeler A, et al. The effectiveness of pedicled groin flaps in the treatment of hand defects: results of 49 patients. J Hand Surg Am. 2012;37(10):2088–2094. doi: 10.1016/j.jhsa.2012.07.014
- Nazerani S, Motamedi MHK, Nazerani T, Bidarmaghz B. Treatment of traumatic degloving injuries of the fingers and hand: introducing the ‘compartmented abdominal flap’. Tech Hand Up Extrem Surg. 2011;15(3):151–155. doi: 10.1097/BTH.0b013e3182051c02
- Al-Qattan MM, Alammar AK, Alfaqeeh FA, et al. Pedicled abdominal flaps for hand reconstruction in adults: Physiotherapy of the attached hand. Plastic and Reconstructive Surgery Global Open. 2021;9(3):3474. doi: 10.1097/GOX.0000000000003474
补充文件
![](/img/style/loading.gif)