HAND RECONSTRUCTION :OUR EXPERIENCE

DR TANMAY PRASAD, MCh Resident,

Department of Plastic Surgery, RRMCH, Bangalore-74

Hand
Reconstruction: Our Experience:
At our institute following percentage of cases presented in the casualty and Out patient department:
• Congenital anomalies 7%,
• Trauma and Burns 64%,
• Infective Etiology 12%,
• Dupuytren’s Contracture 12%,
• Miscellaneous 5%.
 The patients were admitted and prepared for surgery and after surgery were followed up.
 Planning and systematic execution with the primary goal of functional reconstruction and post operative
care and follow-up remained the cornerstone in the management of the cases.
First Dorsal metacarpal artery flap (Foucher’s Flap) for thumb trauma

De-epithelialized Cross finger flap for little finger reconstruction

Dupuytren’s Contracture: Fasciectomy

Ulnar artery collateral perforator based flap

 Hypertrophic scar
excision with Split
skin grafting for
Burns Scar
Contracture

Release of Burns Scar contracture with Split skin grafting. Subsequently the patient required tendon reconstruction.