Hihara Masakatsu, Takeji Kota, Mitsui Toshihito, Fujita Maako, Satou Ai, Himejima Tomoki, Kakudo Natsuko, Kusumoto Kenji
Department of Plastic and Reconstructive Surgery, Kansai Medical University, Osaka, Japan.
Trauma Case Rep. 2022 Mar 21;39:100638. doi: 10.1016/j.tcr.2022.100638. eCollection 2022 Jun.
A 48-year-old man sustained a severe punching hole injury of 8 cm in diameter on the palm of his left hand using a punching instrument (for making the bottom of drink cans), and his middle and ring fingers were almost amputated. A flow-through type immediate ALT (anterolateral thigh) flap was used to bypass the distal blood flow and a titanium plate for mandibular reconstruction and plantar glabrous skin were used to preserve the floating amputated fingers. As there has been no report of reconstruction of a punching hole in the palmar region that exceeds 8 cm in diameter, this report is novel and educational.