Figure 5

Postoperative hand function. The patient could spread out the palm (A) but had limited flexion range due to adhesion of the grafted lesion (B).The patient could write with a pen using the thumb’s opposition due to the irradiated fourth FDS tendon reconstruction (C). The overall functional rating was 21 according to MSTS rating system. The patient developed local recurrence on the surgical margin at 20 months after surgery (D).