Wrist and hand degloved injuries salvaged with reverse radial forearm flap in the CoVid-19 era.
COVID-19 pandemic
Complex hand defect
Pedicled flap
Reverse radial forearm flap
Journal
Trauma case reports
ISSN: 2352-6440
Titre abrégé: Trauma Case Rep
Pays: Netherlands
ID NLM: 101711730
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
accepted:
24
11
2022
entrez:
2
12
2022
pubmed:
3
12
2022
medline:
3
12
2022
Statut:
epublish
Résumé
Reverse radial forearm flap is a quick and reliable flap, providing a well-vascularized tissue for coverage of hand defects. It is based on the reverse flow of the radial artery and the only drawback is the proximal ligation of the vessel. Two cases with complex dorsal hand defects were referred with delay to our Hand Unit, due to the CoVid-19 pandemic restrictions. In both cases deep structures of the wrist and fingers were exposed and the wounds were infected. Surgical debridement, skin coverage and reconstruction were decided in a staged approach: The reverse radial forearm flap was first performed, and in subsequent stages, functional restoration with hamstrings tendon grafts and finger joints arthrodesis successfully followed. These two cases highlight the reliability of a traditional pedicled flap in the salvage of complex hand defects, especially when time and resources are limited due to a pandemic.
Identifiants
pubmed: 36457419
doi: 10.1016/j.tcr.2022.100742
pii: S2352-6440(22)00138-8
pmc: PMC9699706
doi:
Types de publication
Case Reports
Langues
eng
Pagination
100742Informations de copyright
© 2022 Published by Elsevier Ltd.
Déclaration de conflit d'intérêts
None.
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