Cinta‑Egaña IA, Paz‑Murga R, Baeza‑Ramos H, Chaparro‑Palma R, Padilla‑Vega F, Santander‑Flores SA

Language: Spanish
References: 7
Page: 273-276
PDF size: 286.66 Kb.

ABSTRACT

Electric burns on the extremities are devastating injuries with a high demand for medical attention, with morbidity and mortality and a great risk of amputation. Microsurgical reconstruction in these patients is the best viable option to provide adequate coverage and mobility to the affected limbs, by decreasing hospital stay and costs and avoiding delayed rehabilitation. We present a case of a limb injury secondary to high-voltage electrical burn, which entered the Burns Unit with injury to the left hand and both feet, with significant tendon, muscle and skin damage. It was managed with water resuscitation, cleansing and initial scarectomy, amputation of the left thumb and three surgical cleansings with debridement. The first stage of reconstruction was done by grafting the viable areas of the right foot and the left hand; the second stage with reconstruction by means of pediculate inguinal flap for the hand and free wide dorsal flap for the left foot. In the third stage the McGregor inguinal flap was released and grafted the hand and over the latissimus dorsi flap on the foot. The patient evolved favorably with total integration of the grafts and flaps. He began his comprehensive rehabilitation, being able to walk with a cane in the first month of follow-up. The reconstruction of injuries caused by electric current is complex and requires immediate attention by a multidisciplinary team before this was done, it was based on loco-regional grafts and flaps, with poor results. Microsurgery offers a new possibility for the coverage of composite tissues and large areas in less time and with greater possibilities of rehabilitation.

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