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Reconstruction of a Mangled Hand with a Thoracodorsal Artery Perforator Free Flap: A Report of Two Cases

Archives of Hand and Microsurgery 2021년 26권 1호 p.57 ~ 62
박현식, 김동진, 황종익,
소속 상세정보
박현식 ( Park Hyun-Sik ) - Duson Hospital Institute of Hand and Microsurgery Department of Orthopaedic Surgery
김동진 ( Kim Dong-Jin ) - Duson Hospital Institute of Hand and Microsurgery Department of Orthopaedic Surgery
황종익 ( Hwang Joing-Ick ) - Duson Hospital Institute of Hand and Microsurgery Department of Orthopaedic Surgery

Abstract


Mangled hands are a severely injured condition that is a rare and challenging problem for reconstructive surgeons. Surgical flaps such as anterolateral thigh, radial forearm, or thoracodorsal artery flaps have been used for multiple-digit resurfacing. In this report, we describe two cases of complex defects that included multiple digits in patients who underwent reconstruction with thoracodorsal artery perforator (TDAP) free flaps. All massive soft tissue defects were completely covered with a TDAP free flap. The thinner perforator flap could be harvested, and the patients regained the ability to pinch and grasp. Therefore, the authors present two cases of mangled hands successfully treated with TDAP free flap.

키워드

Hand injuries; Surgical flaps; Free tissue flaps

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