Abstract
The pediatric patients and parents must have enough psychological preparations before considering adopting microsurgical techniques to repair hand congenital deformities. For the parents, their child has lost one hand or one pair of perfect hands; if they consider undergoing toe transplantation or using free flaps to repair the deformed hand, the pediatric patient will lose the complete toes or other histological structures, and new injuries will arise; in the meantime, the surgeons cannot guarantee that the microsurgery is bound to succeed; therefore, the parents always have many concerns and are under great pressure, which will unconsciously influence the surgeons; under this circumstance, many surgeons will passively select microsurgery. Therefore, for the surgeons, pediatric patients (if possible), and their parents, before the microsurgery, an in-depth discussion will be conducted on various conditions before the surgery, during the surgery, and after the surgery; the child’s family will be asked to make the final choice and the surgeons will respect this choice, which is very important.
References
The growing hand. Chapter 3 Psychology (Eileen Bradbury) and Chapter 12 Talking with parents and children (Simon P.J. Kay and Eileen Bradbury). p. 21–4.
Green’s Operative Hand Surgery, 6th edition. Chapter 51, Free Skin and Composite Flaps.
Campbell’s Operative Orthopaedics, 12th ed. Chapter 63, Microsurgery. p. 3148–96.
The growing hand. Chapter 101, Free-tissue transfer in children (Simon P.J. Kay and Vivien C. Lees). p. 969–86.
Turker T, Tsai TM, Thirkannad S. Size discrepancy in vessels during microvascular anastomosis: two techniques to overcome this problem. Hand Surg. 2012;17(3):413–7.
Binhammer P. Soft tissue coverage of the arm. Hand Clin. 2014;30(4):475–8.
Chen HC, Buchman MT, Wei FC. Free flaps for soft tissue coverage in the hand and fingers. Hand Clin. 1999;15(4):541–54.
Nguyen ML, Jones NF. Undergrowth: brachydactyly. Hand Clin. 2009;25(2):247–55.
Bayne CO, Bishop AT, Shin AY. Technique of harvest of the free vascularized fibula. Tech Hand Up Extrem Surg. 2014;18(4):181–8.
Garcia RM, Ruch DS. Free flap functional muscle transfers. Hand Clin. 2016;32(3):397–405.
Galpern DW, Tsai TM. Multiple toe transfer and sensory free flap use after a traumatic amputation of multiple digits. Surgery done in a single setting: a case study. Microsurgery. 2011;31(6):484–9.
Gill RS, Lim BH, Shatford RA, Toth E, Voor MJ, Tsai TM. A comparative analysis of the six-strand double-loop flexor tendon repair and three other techniques: a human cadaveric study. J Hand Surg Am. 1999;24(6):1315–22.
Bellew M, Haworth J, Kay SP. Toe to hand transfer in children: ten year follow up of psychological aspects. J Plast Reconstr Aesthet Surg. 2011;64(6):766–75.
Jones NF, Hansen SL, Bates SJ. Toe-to-hand transfers for congenital anomalies of the hand. Hand Clin. 2007;23(1):129–36.
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© 2017 Springer Nature Singapore Pte Ltd. and Zhejiang Science and Technology Publishing House
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Tsai, TM., Huey, Y.T., Han, D. (2017). Applications of Microsurgical Reconstructive Surgery Technique in the Repair of Hand Congenital Deformities. In: Wang, W., Yao, J. (eds) Congenital Deformities of the Hand and Upper Limb. Plastic and Reconstructive Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-10-5101-2_14
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DOI: https://doi.org/10.1007/978-981-10-5101-2_14
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