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One Stage Microsurgical Reconstruction with Chimeric Flap for Salvaging a Complex Hand Injuries
Mohd Shahrul Suondoh,Wan Azman Wan Sulaiman,Wan Faisham Wan Ismail,Arman Zaharil Mat Saad 대한수부외과학회 2020 대한수부외과학회지 Vol.25 No.2
Hand injuries, involving extensor tendon with carpal bone loss are catastrophic events. Reconstructive surgeons typically face difficulties in minimizing the number of operations, recovery period and restoring its functions with an acceptable aesthetic outcome. However, chimeric flap, which consists of multiple composite flaps from one of the sources of main vascular system is a promising option for reconstruction. This paper presents a case of near-amputated degloving injury over the extensor tendon with carpal bone loss on left hand due to road traffic accidents. The patient had a hand reconstruction with chimeric flap consisted of free fasciocutaneous anterolateral thigh flap and vascularized osteomyocutaneous iliac bone graft with tensor fascia lata from the lateral circumflex femoral vascular system. As a result, the hand functioned well and appeared aesthetically acceptable. Thus, this surgery is an effective option in recovering and reconstructing a complex and traumatic hand injury that involved multiple composite tissue defects.
Successful ankle replantation in two cases with different presentations
Wen, Adzim Poh Yuen,Jusoh, Mohd Hanifah,Saad, Arman Zaharil Mat,Halim, Ahmad Sukari,Faisham, Nu'man Wan Ismail Wan,Azman, Wan Sulaiman Wan Korean Society of Plastic and Reconstructive Surge 2020 Archives of Plastic Surgery Vol.47 No.2
We report our experience of treating two patients with ankle amputation with different presentations. The first case was a clean-cut sharp amputation. The second case was an avulsion injury following a motor vehicle accident in a patient who arrived 8 hours after the injury. Replantation was successful in both cases. In avulsion injuries, a secondary operation for wound coverage is required at a later stage. With good strategy and a support team, encouraging limb survival outcomes are possible post-replantation.