TREATMENT OF TRANSFER AND REPLANTATION COMBINED WITH DORSAL INTEROSSEOUS FLAP FOR DESTRUCTIVE INJURY OF HAND WITH ROTATION, AVULSION AND AMPUTATION: A CASE REPORT

WANG B Y¹, GONG X¹, CUI J L¹, YU X D², ZHANG D Q³

¹Department of hand and foot surgery, the First Hospital of Jilin University (Changchun, Jilin 130000) - ²Department of Anesthesiology, Jilin Cancer Hospital (Changchun, Jilin 130000) - ³Department of Neurology, FAW General Hospital of Jilin Province (Changchun, Jilin 130021)

Avulsion and amputation are common surgical traumas in clinical emergency treatment. The patient had the left hand twisted by agricultural machinery, resulting avulsion or amputation of limbs to varying degrees. The episode was urgent and the injury was greatly traumatic with hemorrhagic shock, and emergency surgical treatment was needed. The treatment methods vary. In our study, we used transfer and replantation combined with dorsal interosseous flap for destructive injury along with the postoperative functional recovery and exercise. The long-term postoperative follow-up of the functions of affected limb during daily life and work provided more confirmed evidence for the feasibility of this surgical mode in the application to the avulsion and amputation.