PMC5111497_01
preoperative aspect showing the large crushed area and the torsion of the amputated part.
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A 22 year-old female presented to our service 4 hours after suffering an amputation by crushing and torsion of all long fingers at the metacarpo-phalangeal level of the right hand (Figure 1).
Necrosis of the replanted segment.
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Unfortunately, necrosis of the replanted segment appeared in the 4th postoperative day (Figure 2), which determined the re-amputation.
Aspect of the hand after necrectomy and granulation.
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Seven days later, after obtaining a relatively good granular bed (Figure 3), the reconstruction of the hand was decided.
Harvesting of the antero-lateral thigh perforator flap.
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A free flow-through anterolateral thigh flap was performed to cover the defect (Figure 4), associated with a digital block transfer of the second and third toes from the right foot (Figure 5).
Harvesting of the digital block of second and third toes.
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A free flow-through anterolateral thigh flap was performed to cover the defect (Figure 4), associated with a digital block transfer of the second and third toes from the right foot (Figure 5).