PDF(Pubmed)
Abstract：
Retrieval of four finger injury at proximal stump amputation with segmental injury along with soft tissue defect and impending compartment syndrome continues to be challenge for the surgeon. Immediate transplant considering temporary ectopic foster as a practical option in special case. We describe temporary ectopic finger implant for crush injury at Metacarpophalangeal (MCP level) with hand torsion along with forearm compartment was fostered to Dorsum of the foot. The torsion fingers was temporary fixed with mini external fixator for stabilization as salvage, ALT free flap was used to cover soft tissue defect of the hand. Replantation of survived figure was performed using the long pedicle to anatomical site without crushing the MCP joint to allow for later tendon transfer for finger. Satisfactory function regained with no foster site (foot) complication like pain or disability. The author validated ectopic foster for amputee as and procedure of choice for salvage of extremity under special circumstances.
摘要：
对于外科医生来说，在近端残端截肢时恢复四指损伤，节段性损伤以及软组织缺损和即将发生的室综合征仍然是挑战。在特殊情况下，考虑临时异位寄养作为实际选择的立即移植。我们描述了暂时的异位手指植入物，用于掌指骨（MCP水平）的挤压伤，手扭转以及前臂隔室被植入足背。扭转手指用微型外固定器临时固定，以稳定作为抢救，采用ALT游离皮瓣覆盖手部软组织缺损。使用长椎弓根到解剖部位进行了存活人物的再植术，而不会压碎MCP关节，以便以后将肌腱转移到手指。恢复了满意的功能，没有寄养部位（足部）并发症，如疼痛或残疾。作者验证了截肢者的异位寄养以及在特殊情况下选择的四肢救助程序。
