R.I. MULLIN, R.R. GAIZATULLIN, T.R. DAUTOV

 Republic Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, Kazan,

 Contact details:

Mullin R.I. — PhD (medicine), plastic surgeon of the Traumatology Department № 2

Address: 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064, tel.: +7-903-306-39-44, e-mail: rusdan@mail.ru

The soft tissues of a hand have a unique construction which provides a tactile connection with the environment and protection against external factors. To date, 1/3 of all injuries are hand injuries, which often leads to restrictions on daily and professional activities. Other parts of the body have enough skin, fat and muscle tissue, allowing primary or secondary closure of the wound. However, the neurovascular and muscle-tendon structures of hand are located directly below the skin, so the loss of soft tissue of a hand requires a thoughtful approach to simultaneously restore the aesthetic appearance and function of the hand. The article presents a clinical case of the use of a non-free inguinal flap in the reconstruction of a combined hand injury together with an external fixation device (EFD) and demonstrates the results of treatment for a period of 2 years since the first surgical intervention. The features of the anatomical structure of the inguinal flap, the positive and negative aspects of this type of skin grafting are shown. Also, the most relevant method of flap training by D. Furnas (1985) is described.

Key words: clinical case, hand reconstruction, inguinal flap.

REFERENCES

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