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    [TITRE_TRAVAIL] => Array
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            [0] => Substantial reconstruction ofsegment of index by osteo- tendo- cutaneous pedicledradial forearmflap- Case report
        )

    [etablissement] => Array
        (
            [0] => hopital ibn el jazzar kairouan
        )

    [nom] => Array
        (
            [0] => chamakh
        )

    [prenom] => Array
        (
            [0] => mohsen
        )

    [email] => Array
        (
            [0] => mohsenchamakh2@gmail.com
        )

    [telephone] => Array
        (
            [0] => 24545007
        )

    [auteurs] => Array
        (
            [0] => 
 
Nom prénom: Mansi zied
Email: doc.zm@hotmail.fr
Hôpital: ibn el jazzar kairouan

 
Nom prénom: chamakh mohsen
Email: mohsen chamakh2@gmail.com
Hôpital: ibn el jazzar kairouan

 
Nom prénom: chneti islem
Email: 
Hôpital: ibn el jazzar kairouan

 
Nom prénom: farouk chatbouri
Email: 
Hôpital: ibn el jazzar kairouan

 
Nom prénom: rbai hedi
Email: 
Hôpital: ibn el jazzar kairouan

        )

    [mots_cles] => Array
        (
            [0] => Hand injury, Hand reconstruction, Index Finger reconstruction,radialforearmflap, Osteo-cutaneous radialflap;

        )

    [event-id] => Array
        (
            [0] => 3663
        )

    [statut] => Array
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            [0] => 1
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            [0] => none
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    [abstract] => Array
        (
            [0] => https://www.sotcot.tn/wp-content/uploads/gravity_forms/1-734bfe19ec36a1528718899bf7a2927f/2024/03/Substantial-reconstruction-of-segment-of-index-by-osteo-abstract.docx
        )

    [user_email] => Array
        (
            [0] => medtaghouti96@gmail.com
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Introduction and importance: The hand is one of the most vital organ that the surgeon aims topreserve its function and natural appearance. Although the index finger was used to reconstructthe thumb, the function of the index finger is important as function of the thumb, making itsreconstructionnecessary.Gunshotinjuriesarecommon,especiallyina warzone,andunfortunately,they create complex wounds that are hard to reconstruct and infection is very common. In this article,we report rebuilding segment of index finger with a pedicled osteo-myo-tendo-cutaneous radialforearmflap.
Casepresentation:A50-year-oldblack manwithnopast medicalcomorbidities,sustainedtraumatohis left index finger by high-velocity injury that led to composite tissue loss including metacarpal andproximal phalanx. After applying the initial irrigation and dressing to the wound, his hand wassupported by a volar cast then he was referred to the hospital. The hand was examined at the operationroom and the index finger was found to be hanged with a medial skin pedicle with necrotic andexposed bone and tendon. He underwent a session of debridement followed by reconstruction using apedicled osteo-myo-cutaneous radial forearm flap accompanied with metacarpophalangeal jointarthrodesis.
Clinical discussion: In this scenario, Ray amputation is simple and functional result is acceptable ifthepatientagreeed.Abdominalandregional flaparealternativestofree flapbuttheywill notprovidedsameresults.Radialflapisused to reshapesecond rayofhand andmadereasonableoutcome.
Conclusion:TheRadialforearmflap was usedtoreconstructsegmentofindexfingerand fulfillourrequirements, which include bone, tendon, and skin cover. Additionally, this is a simple and singlestageprocedure andmicro-surgical equipmentisnotnecessary.
        )

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