Contralateral Heterotopic Thumb-to-Thumb Replantation With Free Ulnar Forearm Fasciocutaneous Flap and Targeted Muscle Reinnervation

Rick Tosti, Matthew D. Treiser, Kyle R. Eberlin

Research output: Contribution to journalArticle

Abstract

Mangling hand injuries can be difficult to manage owing to the severity and heterogeneity of the injuries. Outcomes after reconstruction of unique injuries are less well-known but provide valuable insight. We present an unusual spare parts reconstruction of a bilateral upper-extremity mangling injury treated with a heterotopic thumb-to-thumb replantation, an acute forearm fasciocutaneous free flap, and targeted muscle reinnervation. This report highlights the utility of microsurgical reconstruction with available autogenous tissue in the acute setting.

Original languageEnglish (US)
JournalJournal of Hand Surgery
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Replantation
Thumb
Forearm
Muscles
Wounds and Injuries
Hand Injuries
Free Tissue Flaps
Upper Extremity

Keywords

  • Replant
  • targeted muscle reinnervation
  • thumb
  • ulnar artery flap

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

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title = "Contralateral Heterotopic Thumb-to-Thumb Replantation With Free Ulnar Forearm Fasciocutaneous Flap and Targeted Muscle Reinnervation",
abstract = "Mangling hand injuries can be difficult to manage owing to the severity and heterogeneity of the injuries. Outcomes after reconstruction of unique injuries are less well-known but provide valuable insight. We present an unusual spare parts reconstruction of a bilateral upper-extremity mangling injury treated with a heterotopic thumb-to-thumb replantation, an acute forearm fasciocutaneous free flap, and targeted muscle reinnervation. This report highlights the utility of microsurgical reconstruction with available autogenous tissue in the acute setting.",
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author = "Rick Tosti and Treiser, {Matthew D.} and Eberlin, {Kyle R.}",
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AU - Treiser, Matthew D.

AU - Eberlin, Kyle R.

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N2 - Mangling hand injuries can be difficult to manage owing to the severity and heterogeneity of the injuries. Outcomes after reconstruction of unique injuries are less well-known but provide valuable insight. We present an unusual spare parts reconstruction of a bilateral upper-extremity mangling injury treated with a heterotopic thumb-to-thumb replantation, an acute forearm fasciocutaneous free flap, and targeted muscle reinnervation. This report highlights the utility of microsurgical reconstruction with available autogenous tissue in the acute setting.

AB - Mangling hand injuries can be difficult to manage owing to the severity and heterogeneity of the injuries. Outcomes after reconstruction of unique injuries are less well-known but provide valuable insight. We present an unusual spare parts reconstruction of a bilateral upper-extremity mangling injury treated with a heterotopic thumb-to-thumb replantation, an acute forearm fasciocutaneous free flap, and targeted muscle reinnervation. This report highlights the utility of microsurgical reconstruction with available autogenous tissue in the acute setting.

KW - Replant

KW - targeted muscle reinnervation

KW - thumb

KW - ulnar artery flap

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