Role of microsurgical techniques combined with Ilizarov techniques in limb salvage and functional reconstruction of thermal‑crush injuries of the hand: A case report

  • Authors:
    • Jun Yang
    • Longbiao Yu
    • Fanbin Meng
    • Jingjing Wen
    • Yingfeng Xiao
    • Shengxiang Wan
    • Fei Yu
    • Zhegang Zhou
  • View Affiliations

  • Published online on: May 21, 2024     https://doi.org/10.3892/etm.2024.12580
  • Article Number: 291
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Abstract

The Ilizarov technology was proposed by Former Soviet orthopedic physician Ilizarov. It is a medical method to reconstruct missing tissues. Ilizarov technology combined with soft tissue stretching technology is of great significance in the treatment of common orthopedic problems like bone defects, finger absence, joint contracture and joint stiffness following thermal‑crush injuries of the hand. In the present study a 25‑year‑old male patient sought for limb salvage treatment 1 month after sustaining thermal‑crush injuries of the right hand and forearm. The patient had been treated by another hospital with multiple procedures of debridement, and recommended for forearm amputation. The patient was diagnosed with: i) Postoperative infection of thermal‑crush injuries of the right hand and right forearm; ii) comminuted open fractures of the proximal and distal phalanges of the right thumb; iii) osteomyelitis; iv) palm skin defects with exposed tendons; and v) skin defects of the opisthenar and the forearm. After a series of treatments including debridement, removal of necrotic tissue, tissue transplantation, skin pedicle, bone lengthening, external shaping, tissue release, joint fusion, traction and rehabilitation exercises, the patient recovered some hand function. Overall, thermal‑crush injuries of the hand are severe, complicated combined injuries composed of both heat burn and compression injury and their treatment is challenging. Overall, microsurgery combined with Ilizarov technology can effectively reconstruct the function of complex thermal‑crush injuries of the hand.
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July-2024
Volume 28 Issue 1

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Yang J, Yu L, Meng F, Wen J, Xiao Y, Wan S, Yu F and Zhou Z: Role of microsurgical techniques combined with Ilizarov techniques in limb salvage and functional reconstruction of thermal‑crush injuries of the hand: A case report. Exp Ther Med 28: 291, 2024
APA
Yang, J., Yu, L., Meng, F., Wen, J., Xiao, Y., Wan, S. ... Zhou, Z. (2024). Role of microsurgical techniques combined with Ilizarov techniques in limb salvage and functional reconstruction of thermal‑crush injuries of the hand: A case report. Experimental and Therapeutic Medicine, 28, 291. https://doi.org/10.3892/etm.2024.12580
MLA
Yang, J., Yu, L., Meng, F., Wen, J., Xiao, Y., Wan, S., Yu, F., Zhou, Z."Role of microsurgical techniques combined with Ilizarov techniques in limb salvage and functional reconstruction of thermal‑crush injuries of the hand: A case report". Experimental and Therapeutic Medicine 28.1 (2024): 291.
Chicago
Yang, J., Yu, L., Meng, F., Wen, J., Xiao, Y., Wan, S., Yu, F., Zhou, Z."Role of microsurgical techniques combined with Ilizarov techniques in limb salvage and functional reconstruction of thermal‑crush injuries of the hand: A case report". Experimental and Therapeutic Medicine 28, no. 1 (2024): 291. https://doi.org/10.3892/etm.2024.12580