Extreme Injury of Multiple Hand Extensor Tendons (Zones II to VII) Combined With an Extensive Degloving Injury of the Dorsal Hand: Staged Reconstruction Utilizing Silicon Rods and a Groin Flap.
EplastyPub Date : 2025-08-06eCollection Date: 2025-01-01
Christos Gakis, Ioannis Michalis
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Abstract
Background: Extensive injuries of hand extensor tendons combined with soft tissue loss represent a reconstructive challenge. Single- or multiple-stage reconstruction cannot be principally adopted, and a single surgical plan cannot uniformly treat every patient.
Methods: The authors present a complex case of dorsal hand degloving injury accompanied by extensor tendons injury of the second, third, and fourth digits in zones II to VII, as well as radial wrist extensor tendons injury. The patient was treated in stages. Coverage was provided by a pedicled groin flap. Radial wrist extensors were reconstructed with a palmaris tendon graft, and the extensor digitorum communis was reconstructed with silicon rods and fascia lata grafts.
Conclusions: A most satisfactory reconstruction was achieved.
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