4.1 Article

REANIMATION OF THUMB EXTENSION AFTER UPPER EXTREMITY DEGLOVING INJURY TREATED WITH INTEGRA®

Journal

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
Volume 33E, Issue 6, Pages 800-802

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1177/1753193408096021

Keywords

extensor pollicis longus (EPL); abductor pollicis longus (APL); tendon transfer; Interga (R)

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A case of severe degloving injury to the left hand with complete destruction of the extensor apparatus of the thumb and exposure of the IP joint is presented. The damaged area was resurfaced with the use of the Integra (R) template and the abductor pollicis longus tendon, lengthened with a tendon graft provided by the extensor indicis, and used to restore thumb extension. The transfer was performed through a prefabricated sheath under the Integra (R) resurfaced area in a two-staged procedure. The final result was functional and aesthetically satisfying.

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