Extensor tendon repairing with a rolled deep temporal fascial graft and a free temporoparietal fascial flap as a gliding bed: A case report.

• 发表时间: Mar 2020
• 来源期刊: JPRAS Open
• DOI: 10.1016/j.jpra.2019.11.007
• PMID: 32158909
• 文章类型: Case Reports
• 作者列表: Kurabayashi T,Suzuki Y,Asato H

关键词: Deep temporal fascial graft; Hand trauma; Temporoparietal fascial flap; Tendon injury

Abstract

Reconstruction of combined skin and tendon loss in an injury of the dorsum of the hand is a challenging problem because it is required to achieve adequate excursion of the tendon. We herein report our case of extensor tendon repair for a dorsal hand injury using a rolled deep temporal fascial (DTF) graft and a free temporoparietal fascial flap. The patient regained satisfactory hand function with minimal donor site morbidity. DTF utilization as tendon grafts spares another incision for tendon grafting. Furthermore, one can integrate all the donor sites into the temporal region by choosing the scalp as a donor site for skin grafting. Patients can benefit from this procedure, which provides a functional reconstruction of the hand and leaves only inconspicuous donor site scars.