Abdominal Flap: A Reconstructive Option for Hand Defect in Rural Setting

  • Shankari Sinnasamy Department of Orthopedic Surgery Hospital Tawau, Sabah, Malaysia.
  • B Mohd Shakir
  • Naveen Vijayashingam
  • Mustaqim Afifi @ Apipi
  • Doddaballapur Ramaiah Prakash

Abstract

Reconstruction of hand injury is the challenge for the surgeon especially in rural settings. This case report is about a 10-year-old boy, who sustained large degloving wound of dorsum of right hand with extensor tendon injury following a road traffic accident. We performed a staged abdominal flap with tensor fascia lata graft for tendon reconstruction as microsurgery facilities was not available. Post-operatively he was subjected to physiotherapy and he has a functional right hand. This case report aimed to highlight abdominal flap as reconstructive option as compared to skin grafting which is reproducible with limited resources. Besides that, overall exposure to all surgical options is of paramount importance in the training of trainees to equip them with skills to serve in rural setting.

Author Biographies

B Mohd Shakir

Plastic and Reconstructive Surgery Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia

Naveen Vijayashingam

Department of Orthopaedic Surgery Hospital Tawau, Sabah, Malaysia

Mustaqim Afifi @ Apipi

Department of Orthopaedic Surgery Hospital Tawau, Sabah, Malaysia

Doddaballapur Ramaiah Prakash

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia

Published
2018-09-28
How to Cite
Sinnasamy, S., Shakir, B. M., Vijayashingam, N., Afifi @ Apipi, M., & Prakash, D. (2018). Abdominal Flap: A Reconstructive Option for Hand Defect in Rural Setting. Borneo Journal of Medical Sciences (BJMS), 12(3), 63-67. Retrieved from https://jurcon.ums.edu.my/ojums/index.php/bjms/article/view/1220