One-stage thumb lengthening with use of an osteocutaneous 2nd metacarpal flap.

Strategies in Trauma and Limb Reconstruction
Panagiotis GivissisAnastasios Christodoulou

Abstract

Traumatic thumb amputation represents an extremely disabling entity, thus rendering its reconstruction a procedure of paramount importance. A case of a patient, who sustained a traumatic amputation of his left index finger at the metacarpophalangeal joint and of his left thumb in the middle of the proximal phalanx 4 months ago and was initially treated elsewhere, is described. For the thumb reconstruction, an osteocutaneous flap of the radial side of the 2nd metacarpal, which consisted of a 3, 5-cm bony segment with the overlying skin and its blood and nerve supply was used. The flap was transferred and fixed with a plate and screws to the palmar-medial side of the stump of the thumb, while the 1st web space was deepened by removing the rest of the second metacarpal, while a partial skin graft was used to cover a remaining gap. Thumb functionality was restored immediately postoperatively, and the overall result was satisfactory.

References

Jan 1, 1991·Annales de chirurgie de la main et du membre supérieur : organe officiel des sociétés de chirurgie de la main = Annals of hand and upper limb surgery·G Loda
Jul 1, 1990·Journal of Reconstructive Microsurgery·G FoucherN Citron
Oct 1, 1984·Journal of Reconstructive Microsurgery·J MichonG Foucher
Nov 1, 1980·The Journal of Hand Surgery·W A MorrisonA M MacLeod
May 1, 1980·Plastic and Reconstructive Surgery·G FoucherJ Michon
Jan 1, 1995·Microsurgery·G Foucher, P Binhammer
Feb 1, 1996·Annals of Plastic Surgery·E T EmersonD P Greenwald
Oct 12, 2005·Plastic and Reconstructive Surgery·Arshad R MuzaffarJeffrey B Freidrich
Mar 7, 2006·Techniques in Hand & Upper Extremity Surgery·Ivan Matev
Sep 23, 2006·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·D DrückeM Lehnhardt

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Citations

Jan 16, 2018·Disability and Rehabilitation. Assistive Technology·Marian Suarez-Escobar, Elizabeth Rendon-Velez
Nov 28, 2019·Plastic and Reconstructive Surgery. Global Open·Brodie ParentAlexander Spiess

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