|Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.|
| FIG. 32-19. The vascular structures and the metacarpals were sharply divided just proximal to the vascular arch, but minimal intimal injury was present.
A 21-year-old woman suffered a transmetacarpal amputation of her nondominant left hand while at work in a yarn factory. The thumb was spared without fracture.
FIG. 32-22. Sharp transection of all structures was found in the distal amputated part.
A patient suffered complete hand amputation through the distal carpal row.
FIG. 32-27. Preoperative appearance.
A 27-year-old man destroyed the metacarpal arch of his dominant hand in an industrial engine. The wound was severely contaminated and required multiple debridements. To maintain the metacarpal length and allow wound access, a mini-Hoffman external fixator was applied.
FIG. 32-29. A lateral view of the fixator demonstrates the extensive soft and bony tissue loss.
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