[Contemporary possibilities of thumb reconstruction. Part one--"classical" methods].
Loss of the thumb accounts for a 60% decrease of functional value of the hand, thus making its reconstruction a priority in the field of hand surgery. Basing on available literature and the author's own experiences classical methods (no microsurgery) are presented. The following methods are discussed: phalangisation, progressive lengthening (of the stump of the proximal phalanx and/or the first metacarpal bone), osteoplastic reconstruction, island flaps (Chinese flaps), pollicisation, vascular rein technique, along with respective indications, operative techniques, results and complications.
Jabłecki
Jerzy
J
Ośrodek Replantacji Kończyn, Mikrochirurgii, Chirurgii Reki, Oddział Chirurgii Ogólnej, Trzebnica.
D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods* / Q000592:standards; D019651:Plastic Surgery Procedures / Q000379:methods* / Q000592:standards; D013933:Thumb / Q000293:injuries* / Q000601:surgery*