Case Report: Frostbite in the tropics: abdominal pedicled flap reconstruction to prevent the metacarpal hand - Takeaways - 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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  • 1

    A 59-year-old male suffered severe frostbite on Mount Everest, leading to significant hand injuries requiring reconstructive surgery.

  • 2

    Hyperbaric oxygen therapy was utilized to enhance tissue viability during the demarcation of frostbite injuries.

  • 3

    A two-stage reconstructive approach involved an abdominal pedicled flap to preserve digital length and joint function after amputation.

  • 4

    Postoperative follow-up showed stable, partially sensate digital stumps with maintained joint mobility, avoiding a non-functional metacarpal hand.

  • 5

    This case highlights the effectiveness of combining hyperbaric oxygen therapy with surgical techniques for severe frostbite reconstruction.

Original Source(s)

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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