New methods of pathologically changed hand segments transfer

The article presents new methods of hand and finger reconstruction by transfer of various hand segments, i.e. digits, digital and metacarpal stumps. Described methods are based on preparatory distraction of segments transferred, which is effected in order to elongate their pedicles. Pedicle distraction enables reconstruction of the thumb and, moreover, of any finger by transposing a digital or metacarpal stump with the proximal amputation level to a recipient with a more distal amputation level. The segment is transferred either on one or two pedicles depending on blood supply sufficiency. 100% of cases saw successful acceptance of transferred segments. Positive functional results were achieved in 92,5% of cases.

hand pathology, reconstructive surgery