From Devastation to Function: A Comprehensive Reconstructive Approach to High-Energy Hand Trauma with Multiple Amputated Digits.
Luigi Troisi, Francesco Zanchetta, Giorgio Eugenio Pajardi
✦ AI-curated · Sources linked
Case in brief
A 15-year-old boy presented with severe hand trauma after a firecracker explosion, resulting in multiple digit amputations and extensive soft tissue loss. Initial treatment involved debridement and stabilization, followed by a multistage reconstructive approach. Surgical interventions included a medial plantar free flap for thumb coverage, a second toe transfer for function restoration, and distraction osteogenesis to enhance thumb length.
Diagnostic / clinical pearl
This case highlights the importance of a comprehensive, multistage reconstructive approach in managing complex hand injuries with significant tissue loss and digit amputations.