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Chir Main ; 29(1): 23-31, 2010 Feb.
Article in French | MEDLINE | ID: mdl-20031472

ABSTRACT

INTRODUCTION: In the case of multidigital hand trauma, the tissue of the amputated parts can be used for the reconstruction of the defected tissue localized on the other fingers. PATIENTS AND METHODS: A series of seven patients has been reviewed in this paper; the authors illustrate the different possibilities of using the "spare-parts concept" in the emergency hand trauma surgery. RESULTS: The functional results are presented. DISCUSSION: The different techniques of reconstruction using the "spare-parts concept" are discussed. CONCLUSION: In the cases of multidigital lesions, the surgeon should choose the best opportunity to use the tissue of the amputated digits, or the non-conservable ones, to reconstruct the neighboring preserved segments.


Subject(s)
Amputation, Traumatic/surgery , Finger Injuries/surgery , Fingers/transplantation , Plastic Surgery Procedures/methods , Replantation/methods , Transplantation, Heterotopic/methods , Adult , Aged, 80 and over , Amputation, Traumatic/diagnostic imaging , Amputation, Traumatic/etiology , Emergencies , Humans , Male , Middle Aged , Philosophy, Medical , Pinch Strength , Radiography , Range of Motion, Articular , Surgical Flaps , Treatment Outcome
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