One-stage thumb lengthening with use of an osteocutaneous 2nd metacarpal flap.
Title | One-stage thumb lengthening with use of an osteocutaneous 2nd metacarpal flap. |
Publication Type | Journal Article |
Year of Publication | 2009 |
Authors | Givissis, P., Stavridis S. I., Ditsios K., & Christodoulou A. |
Journal | Strategies Trauma Limb Reconstr |
Volume | 4 |
Issue | 3 |
Pagination | 135-9 |
Date Published | 2009 Dec |
ISSN | 1828-8936 |
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. |
DOI | 10.1007/s11751-009-0074-z |
Alternate Journal | Strategies Trauma Limb Reconstr |
PubMed ID | 19941169 |
PubMed Central ID | PMC2787208 |