Published online Jan 16, 2021. doi: 10.12998/wjcc.v9.i2.502
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
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.
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.
This case highlights the good effect of anterolateral thigh and ilioinguinal flaps repair technique on severe palm injury.
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.