Neurosensible reconstruction of the thumb in an emergency situation: review of 107 cases.
Coverage of a soft tissue defect of the thumb that cannot be replanted or without bone shortening is difficult to achieve, but it is essential to preserve key-pinch and to restore a sensible and painless pulp.We reviewed retrospectively 107 cases of thumb reconstruction in an emergency situation using the following flaps: Moberg, radial innervated cross-finger, Venkataswami-Subramanian, Foucher, Tezcan, and Littler.The choice of the flap was determined by the extension and location of the injury; Foucher flap (56 cases) was the most used one, and it proved to be the best choice as shown by the results. Nevertheless, Tezcan flap also proved to be a good alternative.
Horta
Ricardo
R
Department of Plastic, Burn Unit, Hospital de São João, Porto Medical School, Porto, Portugal. rickhardinho@hotmail.com
Barbosa
Rui
R
Oliveira
Isabel
I
Amarante
José Manuel
JM
Marques
Marisa
M
Cruz Reis
Jorge
J
Rebelo
Marco
M
D000673:Amputation, Traumatic / Q000601:surgery*; D015331:Cohort Studies; D004638:Emergency Treatment; D004954:Esthetics; D005260:Female; D005383:Finger Injuries / Q000175:diagnosis / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008833:Microcirculation; D008866:Microsurgery / Q000379:methods; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012189:Retrospective Studies; D012677:Sensation; D012684:Sensory Thresholds; D013524:Surgical Flaps / Q000098:blood supply* / Q000294:innervation*; D013933:Thumb / Q000293:injuries / Q000294:innervation / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology