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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

1999, Number 1

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Cir Plast 1999; 9 (1)

Amputated thumb reconstruction with evolving procedure (Wrap-Around Flap)

Ramírez LEA, Páez MJ, Rozen FI

Language: Spanish
References: 11
Page: 13-17
PDF size: 538.56 Kb.


ABSTRACT

Reconstructive procedures to recover thumb function are index or another finger pollizitation, osteoplastic reconstruction, first toe free transfer and microsurgical wrapping technique or wrap-around. The latter this technique transfers a soft tissue segment from first and second toes over osseous graft, giving satisfactory aspect, having no movement. We report our experience with this procedure in four patients with traumatic thumb amputation operated on in the Orthopaedic Hospital “Dr. Victorio de la Fuente Narváez” of the Mexican Institute of Social Security. The results was considered excellent in three cases, with good appearance and movement; a case was considered regular, because it with flap partial necrosis and movement limitation. This evolving procedure with microvascular free transfer of the osteotendinous second toe skeleton is an excellent option surgical management in patients with thumb amputation.


REFERENCES

  1. McCarthy JG. Plastic Surgery. Philadelphia: W.B. Saunders Co. 1990: pp 5153-5156.

  2. McCarthy JG. Plastic Surgery. Philadelphia: W.B. Saunders Co. 1990: pp 5135-5136.

  3. Littler JW: Subtotal reconstruction of de thumb. Plast Reconstr Surg 1952; 10: 215.

  4. Littler JW. Current practice in orthopaedic surgery. St. Louis: C.V. Mosby Co. 1966; pp 157-172.

  5. Littler JW. Restauration of the amputed thumb. St. Louis: C:V. Mosby Co. 1974: pp 202.

  6. McCarthy JG. Plastic surgery. Philadelphia: W.B. Saunders Co. 1990: pp 5195.

  7. McCarthy JG. Plastic Surgery. Philadelphia: W.B. Saunders Co. 1990 pp 5153-5156.

  8. McCarthy JG. Plastic Surgery. Philadelphia: W.B. Saunders Co. 1990 pp 5186-5194.

  9. Foucher G, Merle M. Microsurgical free partial toe transfer in hand reconstruction: A report of 12 cases. Plast Reconstr Surg 1980; 65:616.

  10. Wei FCh. Second toe wrap-around flap. Plast Reconstr Surg 1991; 88:837-843

  11. Iglesias M, Serrano J. Reimplantation of amputate segment after prolonged ischemia. Plast Reconstr Surg 1990; 85:425-429.




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