Case Report: Frostbite in the tropics: abdominal pedicled flap reconstruction to prevent the metacarpal hand - Summary - MDSpire

Case Report: Frostbite in the tropics: abdominal pedicled flap reconstruction to prevent the metacarpal hand

  • By

  • Adzim Poh Yuen Wen

  • Zhun Shen Tan

  • Kah Ken Kwan

  • Mohamed Nabil Mohamed Nazri

  • Shalimar Abdullah

  • May 15, 2026

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Objective:

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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