gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Article

Send article

Using Abdominal Fasciocutaneous Flap to Salvage the Compromised Replantation

Meeting Abstract

Search Medline for

  • presenting/speaker Chi-Ying Hsieh - Far Eastern Memorial Hospital, Department of Plastic and Reconstructive Asthetic Surgery, New Taipei City, Taiwan
  • Ke-Chung Chang - Far Eastern Memorial Hospital, Department of Plastic and Reconstructive Asthetic Surgery, New Taipei City, Taiwan
  • Yo-Shen Chen - Far Eastern Memorial Hospital, Department of Plastic and Reconstructive Asthetic Surgery, New Taipei City, Taiwan

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1202

doi: 10.3205/19ifssh0251, urn:nbn:de:0183-19ifssh02512

Published: February 6, 2020

© 2020 Hsieh et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: The successful rate of replantation depends on a variety of factors including the mechanism of injury, surgical skills and patient conditions, etc. Sometimes, the failure of replantaion is upset and frustrating. We provide a case report that the crushing amputated thumb was salvaged by a abdominal fasciocutaneous flap.

Methods: We present a 29-year-old healthy man who sustained a crushing injury on left thumb. Traumatic amputation was seen at the level of base of proximal phalanx (Figure 1). First attempt of replantation was performed but turned into vascular compromise (Figue 2). Abdominal fascioucutaneous flap was created to salvage the compromised stump on the post injury day 3 (Figure 3). After three weeks, the abdominal flap was divided from the abdomen.

Results and Conclusions: The amputated thumb was preserved successfully on the length and is functioning well in two months (Fgure 4, Figure 5, Figure 6).

It is not necessary to amputate the stump if replantation fails. Abdominal fasciocutaneous flap can be used as a salvage for replantation when vascular compromise occurs.