Riah Y, Balaguer T, Médard de Chardon V, Chignon-Sicard B, Dannan E, Lebreton E
Service de chirurgie plastique reconstructrice et chirurgie de main, hôpital St-Roch, CHU de Nice, 5, rue Dévoluy, 06000 Nice, France.
Chir Main. 2010 Feb;29(1):23-31. doi: 10.1016/j.main.2009.11.003. Epub 2009 Dec 3.
In the case of multidigital hand trauma, the tissue of the amputated parts can be used for the reconstruction of the defected tissue localized on the other fingers.
A series of seven patients has been reviewed in this paper; the authors illustrate the different possibilities of using the "spare-parts concept" in the emergency hand trauma surgery.
The functional results are presented.
The different techniques of reconstruction using the "spare-parts concept" are discussed.
In the cases of multidigital lesions, the surgeon should choose the best opportunity to use the tissue of the amputated digits, or the non-conservable ones, to reconstruct the neighboring preserved segments.