One-stage reconstruction for amputated thumbs with melanoma.
The reconstruction of amputated thumbs is difficult because of a poor prognosis, and the varying length and volume of the lost thumbs. Two patients underwent reconstruction of amputated thumbs in one stage with the use of a modified wrap-around flap procedure. An onychocutaneous flap from the big toe is suitable for partial defects, including the nail of the distal phalanx. A combined dorsalis pedis flap and wrap-around flap is also superior for total thumb reconstruction after amputation at the metacarpal phalanx involving the thenar region.
Koshima
I
I
Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan.
Moriguchi
T
T
Soeda
S
S
D000671:Amputation, Surgical; D005260:Female; D006801:Humans; D008545:Melanoma / Q000601:surgery*; D008875:Middle Aged; D013518:Surgery, Plastic / Q000379:methods; D013524:Surgical Flaps / Q000379:methods; D013933:Thumb / Q000601:surgery*; D014034:Toes / Q000637:transplantation*