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Journal of Hand Surgery (British and European Volume)
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Articles

Reconstruction of a Complex Defect of the Dorsum of the Hand

Y. TROPET
J. M. BRIENTINI
P. GARBUIO
P. E. RIDOUX
P. VICHARD

From the Departments of Orthopaedic, Traumatologic and Plastic Surgery, C.H. U-J. Minjoz Hospital, Besançon, France

Correspondence: Y. Tropet, Departments of Orthopaedic, Traumatologic and Plastic Surgery, C.H.U-J. Minjoz Hospital, Besançzon, France

A 37-year-old right-handed male truck driver was admitted with a severe injury of the dorsum of his right hand following a traffic accident. He had a large combined defect involving skin, tendons and bone. A complex reconstruction was performed using a large iliac crest allograft, a tendon graft and a free serratus anterior flap in one stage, 8 hours after the injury. A skin graft was performed later. 2 years later the functional and aesthetic result are good.

Journal of Hand Surgery (British and European Volume), Vol. 20, No. 5, 591-595 (1995)
DOI: 10.1016/S0266-7681(05)80116-0
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