Rerouting vessels and nerves from other digits in replanting an avulsed and degloved thumb.
In avulsion and degloving injuries of amputated thumbs, we have rotated nearby neurovascular bundles and dorsal digital vessels to restore circulation and sensation. This has been done in 5 patients, and 3 thumbs survived with preservation of length and good function.
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D005385:Fingers / Q000098:blood supply / Q000294:innervation / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012092:Replantation / Q000379:methods*; D013933:Thumb / Q000293:injuries / Q000601:surgery*