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Combined subdermal pocket procedure and abdominal flap for distal finger amputations in a toddler.


Tsai, Po-Lun; Scaglioni, Mario F; Lin, Tsan-Shiun; Chen, Yen-Chou (2015). Combined subdermal pocket procedure and abdominal flap for distal finger amputations in a toddler. Plastic and reconstructive surgery. Global open, 3(5):e386-e387.

Abstract

A girl (aged 1 year and 9 months) sustained traumatic amputation to her middle and ring fingers (zone 1C) by a cup-sealing machine. Full-thickness dorsal skin burn over amputated fingertips was also noted. Emergent finger replantation was performed. Following bone fixation, bilateral digital arteries and nerves were repaired. After complete debridement of the necrotic dorsal skin, the extensor tendon and joint were exposed. Moreover, all dorsal veins were destroyed. The pulps (middle and ring fingers) were de-epithelialized and inserted into the subdermal pocket over her left abdomen. The 2 raised skin flaps were transferred to reconstruct the dorsal skin defects. Division of the replanted finger from abdomen was performed at the 14th postoperative day. The fingers survived completely. Good functional and aesthetic outcomes were achieved.

A girl (aged 1 year and 9 months) sustained traumatic amputation to her middle and ring fingers (zone 1C) by a cup-sealing machine. Full-thickness dorsal skin burn over amputated fingertips was also noted. Emergent finger replantation was performed. Following bone fixation, bilateral digital arteries and nerves were repaired. After complete debridement of the necrotic dorsal skin, the extensor tendon and joint were exposed. Moreover, all dorsal veins were destroyed. The pulps (middle and ring fingers) were de-epithelialized and inserted into the subdermal pocket over her left abdomen. The 2 raised skin flaps were transferred to reconstruct the dorsal skin defects. Division of the replanted finger from abdomen was performed at the 14th postoperative day. The fingers survived completely. Good functional and aesthetic outcomes were achieved.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Reconstructive Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:May 2015
Deposited On:17 Mar 2016 11:28
Last Modified:05 Apr 2016 20:11
ISSN:2169-7574
Publisher DOI:https://doi.org/10.1097/GOX.0000000000000349
PubMed ID:26090276

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