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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2021; 49(02): e160-e164
DOI: 10.1055/s-0041-1731769
Case Report | Relato de Caso

Principios reconstructivos en la mano metacarpiana: relato de caso

Article in several languages: English | español
Iker Miguel Escuredo
1   Plastic Aesthetic and Reconstructive Surgery Department, Cruces University Hospital, Barakaldo, Bizkaia, Spain
,
Guillermo Ibarrondo Arzua
1   Plastic Aesthetic and Reconstructive Surgery Department, Cruces University Hospital, Barakaldo, Bizkaia, Spain
,
Juan José García Gutierrez
1   Plastic Aesthetic and Reconstructive Surgery Department, Cruces University Hospital, Barakaldo, Bizkaia, Spain
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Resumen

La mano metacarpiana es una de las lesiones más devastadoras de la extremidad superior. Nuestro caso clínico corresponde a un varón de 56 años con una amputación multidigital de la cual resultó una mano metacarpiana tipo IA de Wei. Se planteó la reconstrucción con la transferencia secuencial de dos dedos de pie a la mano en los radios tercero y cuarto. A la hora de plantearnos la reconstrucción de una mano metacarpiana, tanto de forma aguda como diferida, es necesario tener en cuenta ciertos principios reconstructivos. En primer lugar, las estructuras vitales a conservar y los métodos de cobertura en el proceso agudo. Cuando el reimplante no es posible, la transferencia de dedos del pie a la mano es la técnica de elección. Es necesario conocer qué estructuras y a qué posiciones se debe realizar la transferencia, así como adecuar las opciones a las características de cada paciente.

Palabras Clave

mano metacarpiana - dedo de pie a mano - amputación


Publication History

Received: 20 April 2021

Accepted: 30 April 2021

Article published online:
13 December 2021

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  • References

  • 1 del Piñal F. Severe mutilating injuries to the hand: guidelines for organizing the chaos. J Plast Reconstr Aesthet Surg 2007; 60 (07) 816-827
    CrossrefPubMedGoogle Scholar
  • 2 Wallace CG, Wei FC. Posttraumatic finger reconstruction with microsurgical transplantation of toes. Hand Clin 2007; 23 (01) 117-128
    CrossrefPubMedGoogle Scholar
  • 3 Kokkoli E, Spyropoulou GA, Shih HS, Feng GM, Jeng SF. Heterotopic Procedures in Mutilating Hand Injuries: A Synopsis of Essential Reconstructive Tools. Plast Reconstr Surg 2015; 136 (05) 1015-1026
    CrossrefPubMedGoogle Scholar
  • 4 ALDeek NF, Lin YT, Wei FC. NF AL. Metacarpal-Like and Metacarpal Hand. Hand Clin 2016; 32 (04) 549-554
    CrossrefPubMedGoogle Scholar
  • 5 Wei FC, el-Gammal TA, Lin CH, Chuang CC, Chen HC, Chen SH. Metacarpal hand: classification and guidelines for microsurgical reconstruction with toe transfers. Plast Reconstr Surg 1997; 99 (01) 122-128
    CrossrefPubMedGoogle Scholar
  • 6 Wei FC, Lutz BS, Cheng SL, Chuang DC. Reconstruction of bilateral metacarpal hands with multiple-toe transplantations. Plast Reconstr Surg 1999; 104 (06) 1698-1704
    CrossrefPubMedGoogle Scholar
  • 7 Lin CH, Hu TL, Lin CH. Split second- and third-toe transplantation in mutilating-hand-injury reconstruction. Ann Plast Surg 2008; 60 (03) 267-271
    CrossrefPubMedGoogle Scholar
  • 8 Yim KK, Wei FC, Lin CH. A comparison between primary and secondary toe-to-hand transplantation. Plast Reconstr Surg 2004; 114 (01) 107-112
    CrossrefPubMedGoogle Scholar
  • 9 Woo SH, Kim JS, Seul JH. Immediate toe-to-hand transfer in acute hand injuries: overall results, compared with results for elective cases. Plast Reconstr Surg 2004; 113 (03) 882-892
    CrossrefPubMedGoogle Scholar
  • 10 Lin YT, Su ST, Lo S, Hu CH, Lin CH, Wei FC. Risk factors for reexploration in toe-to-hand transfer: a multivariate analysis of 363 cases. Plast Reconstr Surg 2015; 135 (02) 501-506
    CrossrefPubMedGoogle Scholar