3D Printing Technology Combined with Free Flap Repair Hand Damage

KaiDeng

Shenzhen Longhua District Central Hospital, China

^*Correspondance to: KaiDeng 

 PDF  Full Text DOI: 10.25107/2474-1647.3704

Abstract

Hand and wrist joints are seriously damaged, and there are often bone tissue defects, blood vessels, nerves, tendons, skin and other soft tissue defects, which poses serious challenges to most orthopedic surgeons in clinical practice, and surgery often requires staged treatment. The following problems need to be solved 1. Wound infection 2. Wound coverage 3. Skeletal joint defect 4. Vascular, nerve and tendon defect 5. Functional recovery. From February 2019 to February 2024, six cases of multiple partial injuries to the hand and upper arm were admitted to our department. Multiple debridement VSD negative pressure drainage, local flap covering soft tissue, 3D printing reconstruction of defective bone and joint tissue to restore hand function. Degeneration is particularly important for every patient to ensure that the wound is covered with free or pedicled flap without significant infection; Management of bone and joint defects, with antibiotic administration and bone cement placement, to ensure deep soft tissue infection control, in preparation for further surgery; Bone and joint repair scheme adopts 3D printing technology to design metacarpal, carpal, metacarpal and other prostheses according to the injury situation, after the soft tissue is ready for implantation; Reconstruction of the thumb extension and palmar function, and the rest of the finger tendon injury problems are required to restore the finger function with the allograft tendon implantation. Rehabilitation training is crucial in every patient with upper limb injury. In the long treatment process, rehabilitation training is an important guarantee for the next step of treatment. After the above treatment, all the patients recovered the basic appearance of the hand, restored the joint function, and retained the basic functions of the hand and wrist joints.

Keywords

3D printing technology; Free skin flap; Rehabilitation training

Cite the article

KaiDeng. 3D Printing Technology Combined with Free Flap Repair Hand Damage. Clin Surg. 2024; 9: 3704..