|Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.|
| FIG. 2-42. The hand was replanted.
A 52-year-old carpenter sustained a power saw injury to the left thumb and index finger.
FIG. 2-45. Complete amputation of the index at the metacarpal joint and segmental loss of the dorsal soft tissue and two-thirds of the proximal phalanx and DIP joint of the thumb.
This patient had a lawnmower injury of the hand. (From Alpert, B.S., and Buncke, H.J.: Mutilating multidigital injuries: Use of free microvascular flap from a nonreplantable part. J. Hand Surg. 3:196, 1978.)
FIG. 2-50. Amputation of the little and ring fingers and multiple comminuted fractures of the long finger and similar injury to the index finger, with a triangular defect of soft-tissue neurovascular bundle down to the underlying comminuted fracture of the middle phalanx. A cross-finger flap cannot he fashioned because of the injury to the adjacent long finger.
FIG. 2-52. The small neurovascular transplant on the end of the tongue blade illustrates the true microsurgical nature of this procedure.
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