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Reconstruction of extra-large severe punching hole injury in the palm: A case report

Masakatsu Hihara, Takeji Kota, T. Mitsui, Maako Fujita, Ai Satou, Tomoki Himejima, N. Kakudo, K. Kusumoto

Trauma Case Reports, 2022

2 citations

Abstract

A 48-year-old man sustained a severe punching hole injury of 8 cm in diameter on the palm of his left hand using a punching instrument (for making the bottom of drink cans), and his middle and ring fingers were almost amputated. A flow-through type immediate ALT (anterolateral thigh) flap was used to bypass the distal blood flow and a titanium plate for mandibular reconstruction and plantar glabrous skin were used to preserve the floating amputated fingers. As there has been no report of reconstruction of a punching hole in the palmar region that exceeds 8 cm in diameter, this report is novel and educational.

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