Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al. |
A 28-year-old metal worker amputated his dominant ring and little fingers in a metal press, avulsing the flexor tendons to the wrist. The digits were successfully replanted, requiring PIP joint fusion, which severely limited ulnar grasp. FIG. 33-14. Little finger with avulsed tendon.
CASE 3 Complex hand replantation may require multiple tendon reconstructive procedures. A young factory worker suffered a midmetacarpal hand amputation that was successfully replanted. |
FIG. 33-22. Amputation stump.
CASE 4 A secondary tendon procedure was performed to improve limited function of the thumb in reconstruction of a severe avulsion injury. FIG. 33-30. Wound at time of injury. |
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