Summary
Bidigital amputations proximal to the PIP joints severely impair function and cosmesis
of the hand. The author presents a clinical series of five patients in which a three-fingered
hand was reconstructed through microvascular transfer of one of the stumps on top
of the other. Five male patients with amputation of two fingers proximal to the PIP
joint were treated surgically. One of the stumps was transferred as a local free composite
flap on top of the other stump. All five transfers were successful. The mean operative
time was 2 h 15 min. The subjective improvement on hand function and cosmesis, as evaluated by the
patients, was positive. Free microvascular on-top plasty is a straightforward and
reliable procedure for improving cosmesis and function in hands with two fingers amputated
proximal to the PIP joint, without additional donor morbidity outside the already
injured hand.
Keywords
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Article info
Publication history
Published online: May 10, 2007
Accepted:
March 9,
2007
Received:
December 17,
2006
Identification
Copyright
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
