RESUMO
Se presenta el caso de una lesión por aplastamiento de la mano derecha en un paciente con historia clínica de anemia de células falciformes. Se realizó la reconstrucción con un colgajo de ingle, seguido de un colgajo de arteria interósea posterior y un colgajo anterolateral de muslo. El tratamiento de estas lesiones es complejo debido a la necesidad de tejidos blandos especializados, difíciles de reproducir para grandes defectos de la palma de la mano; además el grado de desarrollo de tejido cicatricial conduce a contracturas y dificultades en el uso funcional de la mano y los dedos. Este caso se agravó por el historial de anemia de células falciformes del paciente.
We report the case of a crush injury to the right hand in a patient with a clinical history of sickle cell anemia. Reconstruction was performed with a groin flap, followed by a posterior interosseous artery flap and an anterolateral thigh flap. The treatment of these injuries was complex due to the need for specialized soft tissues, which are difficult to reproduce for large defects in the palm of the hand. In addition, the degree of development of scar tissue leads to contractures and difficulties in the functional use of the hand and fingers. This case was aggravated by the patient's history of sickle cell anemia.
RESUMO
A patient who suffered soft tissue defects of all 5 digits of left hand was referred to the Department of Hand and Foot Surgery, Affiliated Nanhua Hospital, University of South China in January 2020. A quadruple paddled posterior interosseous artery flaps was used to cover the defect in index, middle, ring and little fingers and a free hallux nail flap was used to repair the defect in thumb. Two years after operation, the appearance and texture of the flaps of all digits in the left hand were good. The function of the digits was good as well. There were slightly noticeable scars left in both the donor sites of left forearm and right foot.