逆行性血管柄遠位手掌島状皮弁を利用した手指heat press injuryの1治療例

Abstract

A 50-year-old woman experienced severe heat press injuries on the right middle and ring fingers. A reverse vascular pedicle palmar island flap was elevated from the mid-palmar lesion of the ring finger, of which resection was planned as a ray amputa- tion. The middle finger was amputated at the level of the mid-proximal phalanx, and then a flap was used to cover the major defect of the exposed bone. In addition, a 2 cm callotasis was performed using the Orthofix mini-100 device at the level of the proximal phalanx of the middle finger. Nine months later, she was able to work without any limitations and could hold chopsticks using the reconstructed finger.