case_images: PMC5871635_01
case_images: First appearance on clinical consultation at the emergency department
case_images: 238_2017_1357_Fig1_HTML.jpg
case_images: PMC5871635_01_238_2017_1357_Fig1_HTML.jpg
case_images: Fig1
case_images: We present a case of an 80-year-old male patient with a traumatic laceration of his left pinky with intact extensor apparatus (Fig. 1), which was first treated by the ER department.
case_images: a Intraoperative view after thorough surgical debridement with demarcation of the dpDMCA flap. b Schematic representation of the proposed dpDMCA flap
case_images: 238_2017_1357_Fig2_HTML.jpg
case_images: PMC5871635_01_238_2017_1357_Fig2_HTML.jpg
case_images: Fig2
case_images: After thorough debridement, only a weak signal at the level of the 4th web space perforator remained, and therefore we included the 3rd web space perforator into our transposition flap with an additional soft tissue island extension (Fig. 2a, b).
case_images: Immediate postoperative view showing the donor site closure by a full thickness skin graft
case_images: 238_2017_1357_Fig3_HTML.jpg
case_images: PMC5871635_01_238_2017_1357_Fig3_HTML.jpg
case_images: Fig3
case_images: The donor site defect was closed by full thickness skin coverage (Fig. 3), and the wound was treated with cast immobilization for 3 weeks.
case_images: Postoperative view at 3 months
case_images: 238_2017_1357_Fig4_HTML.jpg
case_images: PMC5871635_01_238_2017_1357_Fig4_HTML.jpg
case_images: Fig4
case_images: The patient was satisfied with the result albeit a remaining flexion contracture of about 50 degrees (Fig. 4) resistant to further occupational therapy.