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KMID : 1143020210260010057
Archives of Hand and Microsurgery
2021 Volume.26 No. 1 p.57 ~ p.62
Reconstruction of a Mangled Hand with a Thoracodorsal Artery Perforator Free Flap: A Report of Two Cases
Park Hyun-Sik

Kim Dong-Jin
Hwang Joing-Ick
Abstract
Mangled hands are a severely injured condition that is a rare and challenging problem for reconstructive surgeons. Surgical flaps such as anterolateral thigh, radial forearm, or thoracodorsal artery flaps have been used for multiple-digit resurfacing. In this report, we describe two cases of complex defects that included multiple digits in patients who underwent reconstruction with thoracodorsal artery perforator (TDAP) free flaps. All massive soft tissue defects were completely covered with a TDAP free flap. The thinner perforator flap could be harvested, and the patients regained the ability to pinch and grasp. Therefore, the authors present two cases of mangled hands successfully treated with TDAP free flap.
KEYWORD
Hand injuries, Surgical flaps, Free tissue flaps
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