Figs. 6.3C and D. C, Appearance of the hand following debridement, wrist fusion (along the index metacarpal) and transposition of the middle and distal phalanx of the long finger to the index metacarpal. Reconstruction of the extensor pollicis longus with palmaris longus tendon graft to the flexor carpi ulnaris was done immediately. D, Primary soft tissue coverage of the soft tissue defect was done with a free rectus abdominis muscle flap.

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