One-stage osteoplastic reconstruction of the thumb.
One-stage osteoplastic reconstruction of the thumb is based on a reverse-flow forearm osteocutaneous flap. It is indicated in traumatic loss of the thumb at or around metacarpophalangeal joint level in situations where replacement with a toe is not feasible or patient desires against such a transfer. It is relatively an easier method of thumb reconstruction and does not require microsurgical expertise. Donor-site morbidity is small. Complications include delayed wound healing at donor site, radius fracture, and venous congestion. This technique is a useful reconstruction option for traumatic loss at the middle-third level of the thumb.
Cheema
Tahseen A
TA
Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, NM 87131, USA. tcheema@salud.unm.edu
Miller
Steve
S
D000673:Amputation, Traumatic / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006230:Hand Injuries / Q000601:surgery; D018737:Hand Strength; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000503:physiopathology; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D016038:Skin Transplantation / Q000379:methods*; D013933:Thumb / Q000293:injuries* / Q000601:surgery; D014945:Wound Healing / Q000502:physiology