Muirragui A G, Santamaría G
Servicio de Cirugía Plástica, Hospital Vozandes, Quito, Ecuador.
Plast Reconstr Surg. 1997 Sep;100(4):986-90. doi: 10.1097/00006534-199709001-00023.
A case of a single-stage reconstruction of the left hand of a 32-year-old right-handed construction worker with a shotgun wound by means of a composite osteoarthrotenocutaneous free flap from the foot is presented. The tissue loss caused by the injury included the cutaneous coverage of the dorsum of the left hand, extensor tendons of the second, third, fourth and fifth digits, metacarpals of the same fingers, and the second and third metacarpophalangeal joints. After 8 years of evolution, we have been able to verify a valuable degree of functional capability of the reconstructed hand.
本文介绍了一例32岁右利手建筑工人左手因猎枪伤采用足部复合骨-关节-腱-皮游离皮瓣进行一期重建的病例。损伤导致的组织缺损包括左手背皮肤覆盖、示指、中指、环指和小指的伸肌腱、相同手指的掌骨以及第二和第三掌指关节。经过8年的发展，我们已经能够证实重建手具有相当程度的功能能力。
