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Revista Cubana de Ortopedia y Traumatología
On-line version ISSN 1561-3100
Abstract
SANTIESTEBAN, Lauren; LEE, Nicolas and TERRY, Michael. Soft Tissue Coverage in a Crush Injury of the Hand in a Patient with Sickle Cell Anemia. Rev Cubana Ortop Traumatol [online]. 2022, vol.36, n.4 Epub Dec 01, 2022. ISSN 1561-3100.
We report the case of a crush injury to the right hand in a patient with a clinical history of sickle cell anemia. Reconstruction was performed with a groin flap, followed by a posterior interosseous artery flap and an anterolateral thigh flap. The treatment of these injuries was complex due to the need for specialized soft tissues, which are difficult to reproduce for large defects in the palm of the hand. In addition, the degree of development of scar tissue leads to contractures and difficulties in the functional use of the hand and fingers. This case was aggravated by the patient's history of sickle cell anemia.
Keywords : crush injuries; muscle flaps; posterior interosseous artery flap; sickle cell anemia.