Little finger-to-thumb microvascular transfer.
This case report documents a unique thumb reconstruction performed at the authors' institutions. The amputated dominant right thumb of a manual laborer was electively reconstructed with microvascular transfer of the previously partially amputated little finger from the same hand. At 1 year postoperatively, the patient returned to work with excellent grip and pinch strength, thumb opposition to all digits, and 8 mm of static two-point discrimination. The technical details of the operation are described and compared with other analogous reports in the literature.
Lalikos
J F
JF
Division of Plastic Surgery, East Carolina University, Greenville, NC 27858, USA.
Rothkopf
D M
DM
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D005385:Fingers / Q000637:transplantation*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D013524:Surgical Flaps; D013933:Thumb / Q000293:injuries / Q000601:surgery*