Hand Accident Recovery with pedicled graft

Authors

DOI:

https://doi.org/10.56294/sctconf20231116

Keywords:

Pedicle Graft, Pulpejo, Hand Grip Strength, Amputation, Surgical Operation

Abstract

Hand accidents are frequent disorders in medical services. These can occur due to a work or home accident and in all cases it is about recovering the greatest possible functionality of the hand. The conditions in which the patient arrives at the emergency room determine the treatment that specialists must define and the operating procedure to be applied in each case. The pedicled hand graft technique in the treatment of amputation of the pad of the fourth finger is one of the alternatives used and the collaboration offered by the patient contributes greatly during recovery. Some cases may be more affected by the incidence of underlying diseases that delay recovery and assimilation of a medication. A case is presented where the defined procedure was satisfactory for the patient and the recovery of the main functions of the hand affected in the accident.

References

1. PérezI, R. M., FornarisII, M. A. Á., ChávezIII, M. B., & Cabrera, E. Colgajo fasciocutáneo por pérdida del pulpejo. Presentación de un caso. Revista habanera de Ciencias médicas[Internet].2017[Consultado 20 jul 2023];16(2):248-255. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1729-519X2017000200011&script=sci_arttext&tlng=en

2. Wang, J., Zhou, X., Qiang, L., & Xue, M. Thumb fingertip injuries reconstruction using a dorsoulnar flap of the thumb combined with relay V–Y flaps for donor site repair. Journal of Orthopaedic Surgery [Internet]. 2022. [Consultado 16 abril 2023]; 30(2): 23094990211025089. Disponible en: https://journals.sagepub.com/doi/full/10.1177/23094990211025089 DOI: https://doi.org/10.1177/23094990211025089

3. De la Paz Semino, R., Gutiérrez, R. H., & Beltrán, R. L. Colgajo homodigital resensibilizado de circulación invertida para pérdidas de sustancia compleja del pulpejo digital. Revista Cubana de Ortopedia y Traumatología[Internet]. 2023. [Consultado 2 feb 2024]; 37(2):e588. Disponible en: https://revortopedia.sld.cu/index.php/revortopedia/article/view/588

4. Eo, S., Doh, G., Lim, S., & Hong, K. Y. Analysis of the risk factors that determine composite graft survival for fingertip amputation. Journal of Hand Surgery (European Volume)[Internet]. 2018 [Concultado 25 jul 2022]; 43(10): 1030-1035. Disponible en: https://journals.sagepub.com/doi/abs/10.1177/1753193418795820 DOI: https://doi.org/10.1177/1753193418795820

5. Hwang, E., Park, B. H., Song, S. Y., Jung, H. S., & Kim, C. H. Fingertip reconstruction with simultaneous flaps and nail bed grafts following amputation. The Journal of Hand Surgery[Internet]. 2013. [Consultado 21 jul 2023]; 38(7): 1307-1314. Disponible en: https://www.jhandsurg.org/article/S0363-5023(13)00421-8/abstract DOI: https://doi.org/10.1016/j.jhsa.2013.03.032

6. Thanik, V., Shah, A., & Chiu, D. A technique for tripartite reconstruction of fingertip injuries using the thenar flap with bone and nail bed grafts. The Journal of hand surgery[Internet]. 2017. [Consultado 18 oct 2022]; 42(12): 1040-e1. Disponible en: https://www.jhandsurg.org/article/S0363-5023(17)30256-3/abstract DOI: https://doi.org/10.1016/j.jhsa.2017.09.011

7. del Piñal, F., García, F.J., Ayala, H., Cagigal, L., Studer, A., Regalado, J. Reconstrucción de pérdidas de sustancia de pulpejo. Trauma. [Internet]. 2008. [Consultado 3 nov 2023]; 19(2):5. Disponible en: http://www.mapfre.com/fundacion/html/revistas/trauma/v19n2/pag02_01_con.html

8. PérezI, R. M., FornarisII, M. A. Á., ChávezIII, M. B., & Cabrera, E. Colgajo fasciocutáneo por pérdida del pulpejo. Presentación de un caso. Revista habanera de Ciencias médicas[Internet].2017[Consultado 20 jul 2023];16(2):248-255. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1729-519X2017000200011&script=sci_arttext&tlng=en

9. Muwei, L., Zhiying, C., Yanjun Y., Lifeng M., Ziqing Z. Split-Thickness Nail Bed Flap Graft in the Management of Distal Partial Defect of the Nail Bed Combined With Soft Tissue. Journal of Hand Surgery [Internet]. 2020 [Consultado 17 may 2022]; 45(9): 879. Disponible en: https://www.jhandsurg.org/article/S0363-5023(20)30117-9/abstract

10. Petrella, G., Tosi, D., Sapino, G., & Adani, R. Fingertip defect reconstruction with a modified pivot flap. Journal of Hand Surgery (European Volume)[Internet]. 2021. [Consultado 11 agosto 2023]; 46(1): 75-79. Disponible en: https://journals.sagepub.com/doi/full/10.1177/1753193420956320 DOI: https://doi.org/10.1177/1753193420956320

11. Santamaría, D. A., Andachi, J. W. S., & Montoya, Ó. F. S. (2020). Method for Evaluating the Principle of Interculturality in the Custodial Sentence using the Iadov Technique. Neutrosophic Sets and Systems[Internet]. 2020. [Consultado 23 oct 2023]; 37(1): 125-131. Disponible en: https://doi.org/10.5281/zenodo.4122047

12. Wang, S., Zheng, S., Li, N., Feng, Z., & Liu, Q. Dorsal hexagon local flap without skin graft for web reconstruction of congenital syndactyly. The Journal of Hand Surgery[Internet]. 2020. [Consultado 11 jun 2023]; 45(1): 63-e1. Disponible en: https://www.jhandsurg.org/article/S0363-5023(18)31044-X/abstract DOI: https://doi.org/10.1016/j.jhsa.2019.03.009

13. Fernández García A, Soria Cogollos T, Alonso Rosa S, Santoyo Gil-López F, García Contreras J, Fernández Pascual C. Revisión clínica de diez técnicas tradicionales para cobertura de lesiones en punta de dedo. Cir Plást Iberolatinoam [Internet]. 2007. [Consultado 2 jul 2023]; 33 (3): 177-188. Disponible en: https://scielo.isciii.es/scielo.php?pid=S0376-78922007000300005&script=sci_arttext&tlng=pt DOI: https://doi.org/10.4321/S0376-78922007000300005

14. Xu, J., Cao, J. Y., Graham, D. J., Lawson, R. D., & Sivakumar, B. S. Clinical outcomes and complications of primary fingertip reconstruction using a reverse homodigital island flap: a systematic review. Hand [Internet]. 2023. [Consultado 12 feb 2024]; 18(2): 264-271. Disponible en: https://journals.sagepub.com/doi/abs/10.1177/15589447211003179 DOI: https://doi.org/10.1177/15589447211003179

15. Rob, E., Druel, T., Jalaguier, T., Walch, A., & Gazarian, A. Long-term patient-reported outcome measures of fingertip coverage with a homodigital unipedicle neurovascular island flap. Journal of Hand Surgery (European Volume) [Internet]. 2023. [Consultado 26 dic 2023]; 48(9): 920-925. Disponible en: https://journals.sagepub.com/doi/abs/10.1177/17531934231172081 DOI: https://doi.org/10.1177/17531934231172081

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Published

2023-12-20

How to Cite

1.
Rodríguez Reyes ER, Sánchez Garrido A, González Elsy L. Hand Accident Recovery with pedicled graft. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet]. 2023 Dec. 20 [cited 2025 Apr. 19];2:1116. Available from: https://conferencias.ageditor.ar/index.php/sctconf/article/view/573