To present a reconstructive strategy for severe frostbite of the hand in a tropical environment, emphasizing both anatomical preservation and functional outcomes.
Key Findings:
Hyperbaric oxygen therapy improved tissue viability during demarcation.
The abdominal pedicled flap preserved digital length and joint motion.
At 10 months, the patient achieved stable, partially sensate digital stumps, with improved functional metrics.
Interpretation:
The two-stage reconstructive approach combining HBOT and abdominal pedicled flap is effective in enhancing functional outcomes in severe frostbite cases.
Limitations:
The study is based on a single case report, limiting generalizability and applicability to broader populations.
Sensibility was not formally evaluated postoperatively, which may affect the assessment of functional recovery.
Conclusion:
This case highlights the importance of a reconstructive strategy that prioritizes anatomical preservation and functional recovery in severe frostbite injuries, suggesting potential pathways for future treatment protocols.
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