PMC5871635_01
First appearance on clinical consultation at the emergency department
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Fig1
We present a case of an 80-year-old male patient with a traumatic laceration of his left pinky with intact extensor apparatus (Fig. 1), which was first treated by the ER department.
a Intraoperative view after thorough surgical debridement with demarcation of the dpDMCA flap. b Schematic representation of the proposed dpDMCA flap
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Fig2
After thorough debridement, only a weak signal at the level of the 4th web space perforator remained, and therefore we included the 3rd web space perforator into our transposition flap with an additional soft tissue island extension (Fig. 2a, b).
Immediate postoperative view showing the donor site closure by a full thickness skin graft
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Fig3
The donor site defect was closed by full thickness skin coverage (Fig. 3), and the wound was treated with cast immobilization for 3 weeks.
Postoperative view at 3 months
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Fig4
The patient was satisfied with the result albeit a remaining flexion contracture of about 50 degrees (Fig. 4) resistant to further occupational therapy.