Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 16, 2021; 9(2): 502-508
Published online Jan 16, 2021. doi: 10.12998/wjcc.v9.i2.502
Repair of a severe palm injury with anterolateral thigh and ilioinguinal flaps: A case report
Hong-Yang Gong, Xi-Guang Sun, Lai-Jin Lu, Peng-Cheng Liu, Xin Yu
Hong-Yang Gong, Xi-Guang Sun, Lai-Jin Lu, Peng-Cheng Liu, Xin Yu, Hand and Foot Surgery, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Author contributions: Gong HY was the guarantor of integrity of the entire study; Gong HY contributed to the study concepts; Sun XG contributed to the study design and definition of intellectual content; Lu LJ contributed to the literature research, clinical studies and experimental studies; Liu PC contributed to the data acquisition and data and statistical analysis; Yu X contributed to the manuscript preparation, editing and review.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: CARE Checklist (2016) statement has been uploaded.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xin Yu, MD, Doctor, Hand and Foot Surgery, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun 130021, Jilin Province, China. yuxin20@aliyun.com
Received: September 25, 2020
Peer-review started: September 25, 2020
First decision: November 3, 2020
Revised: November 10, 2020
Accepted: November 21, 2020
Article in press: November 21, 2020
Published online: January 16, 2021
Abstract
BACKGROUND

In daily life and work, there are more and more patients with trauma to the hand, which often results in skin and soft tissue defects. Although there are many repair methods, the function and appearance of the fingers will be adversely affected if the repair is inadequate.

CASE SUMMARY

In the present report we describe an 18-year-old male patient whose right hand was mangled by a machine. X-ray imaging showed that a right hand bone (middle finger) was absent and the alignment was poor. After hospitalization, he was diagnosed with a severe right hand injury, skin and soft tissue defects, partial finger defects, and a skin degloving injury. He underwent reconstructive surgery with anterolateral thigh and ilioinguinal flaps. After two repair operations, satisfactory results were obtained, including good fracture healing, good skin flap shape, and good wrist joint function.

CONCLUSION

This case highlights the good effect of anterolateral thigh and ilioinguinal flaps repair technique on severe palm injury.

Keywords: Palm injury, Mechanical damage, Anterolateral thigh flap, Ilioinguinal flap, Case report

Core Tip: We reported an 18-year-old male whose right hand was mangled by a machine. He underwent reconstructive surgery with anterolateral thigh and ilioinguinal flaps. After two repair operations, satisfactory results were obtained. He had good fracture healing, good skin flap shape, and good wrist joint function.