|Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.|
| FIG. 28-19. B. The second-stage reconstruction was performed four months later, using the second toe from each foot. These toes were transplanted into the DCIA bone graft. Long vein grafts and nerve grafts were used to revascularize and innervate the toes.
A man sustained a bilateral degloving injury from a hot metal roller.
FIG. 28-20. Preoperative view of the left hand with multiple carpal fractures, disruption of the median nerve and radial artery, avulsion of the finger flexors, and multiple finger injuries.
An army officer suffered a devastating bilateral hand injury while unsuccessfully attempting to disarm an explosive. Initial wound closure was completed with skin grafts following extensive debridement.
FIG. 28-25. Preoperative view of both hands 18 months after blast injury. All metacarpal joints have been destroyed in the left hand, although thenar and hypothenar muscles are innervated.
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