Osteocutaneous digital fillet flap. A technical modification.
A modified osteocutaneous digital fillet flap was used to reconstruct the thumb of a fifty-three year old male with a severe gunshot wound to the dominant hand. An arthrodesis in the central portion of the bone graft sustained a fatigue fracture that progressed to union without treatment. The one stage procedure avoided the immobilization of a distant pedicle flap, revisional surgery of a complex free flap, and donor site morbidity.
D001174:Arthrodesis; D005384:Finger Joint / Q000601:surgery; D006801:Humans; D008297:Male; D008663:Metacarpus / Q000601:surgery*; D008722:Methods; D008875:Middle Aged; D013524:Surgical Flaps; D013933:Thumb / Q000293:injuries / Q000601:surgery*; D014948:Wounds, Gunshot / Q000150:complications