by Murat Sinan Engin, and İbrahim Alper Aksakal

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Presentation transcript:

by Murat Sinan Engin, and İbrahim Alper Aksakal Heterotopic Transarticular Replantation: A Functional Reconstruction Design for a Mutilated Hand with Multiple Digit Involvement by Murat Sinan Engin, and İbrahim Alper Aksakal JBJS Case Connect Volume 5(1):e25 March 25, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.

The injured hand (Fig. 1-A) and the amputated parts oriented to their respective stumps (Fig. 1-B). Murat Sinan Engin, and İbrahim Alper Aksakal JBJS Case Connect 2015;5:e25 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-A and 2-B Illustrations depicting the surgical technique. Figs. 2-A and 2-B Illustrations depicting the surgical technique. Fig. 2-A The proximal and middle phalanges of the third and fourth digits had comminuted fractures. Fig. 2-B Following removal of the severely traumatized residues, the amputated third digit was attached to the stump of the fourth digit at the level of the proximal interphalangeal joint. Murat Sinan Engin, and İbrahim Alper Aksakal JBJS Case Connect 2015;5:e25 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Figs. 3-A and 3-B Photographs during and after surgery. Figs. 3-A and 3-B Photographs during and after surgery. Fig. 3-A Reattachment of the digit via capsular repair. Fig. 3-B Early postoperative appearance. Murat Sinan Engin, and İbrahim Alper Aksakal JBJS Case Connect 2015;5:e25 ©2015 by The Journal of Bone and Joint Surgery, Inc.

At three years postoperatively, the hand displayed good function. Murat Sinan Engin, and İbrahim Alper Aksakal JBJS Case Connect 2015;5:e25 ©2015 by The Journal of Bone and Joint Surgery, Inc.