Microsurgical treatment for bilateral thumb defect: Five case reports

The authors present a new and efficient treatment for reconstruction of bilateral defective thumbs by different configured toe‐tissuestransplantations in a single stage, including bilateral second‐toe transfer in 2 cases, bilateral hallux wrap‐around flap transfer in 1 case, bilateral modified hallu...

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Bibliographic Details
Published in:Microsurgery 2003, Vol.23 (6), p.547-554
Main Authors: Xu, Lei, Gu, Yu-Dong, Xu, Jian-Guang, Rui, Yong-Jun, Shou, Kui-Sui
Format: Article
Language:English
Subjects:
Accidents, Occupational
Adult
Amputation, Traumatic - diagnosis
Amputation, Traumatic - surgery
Biological and medical sciences
Bone Transplantation
Female
Finger Injuries - diagnosis
Finger Injuries - rehabilitation
Finger Injuries - surgery
Follow-Up Studies
Graft Survival
Humans
Injury Severity Score
Male
Medical sciences
Microsurgery - methods
Orthopedic surgery
Range of Motion, Articular - physiology
Reconstructive Surgical Procedures - methods
Recovery of Function
Risk Assessment
Sampling Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Thumb - injuries
Thumb - surgery
Treatment Outcome
Wound Healing - physiology
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Summary:The authors present a new and efficient treatment for reconstruction of bilateral defective thumbs by different configured toe‐tissuestransplantations in a single stage, including bilateral second‐toe transfer in 2 cases, bilateral hallux wrap‐around flap transfer in 1 case, bilateral modified hallux wrap‐around flap transfer in 1 case, and combined second toe with island flap with neurovascular pedicles from the proximal and dorsal aspect of the index finger transfer in 1 case. In total, eight transferred tissues survived uneventfully after circulation monitor and medicine administration according to the rules of microsurgery, and in two other transferred toe tissues, temporary circulation crises occurred. Over a 1‐year follow‐up, the satisfactory appearance and excellent function of the reconstructed bilateral thumbs were noted. For ensuring the success of the procedure, the authors emphasize the establishment of a double artery supply and venous return‐flow systems and the modification of the hallux wrap‐around flap dissection and tendon repair. Meanwhile, three‐stage systemically functional rehabilitations also improved functional restoration of reconstructed thumbs. © 2003 Wiley‐Liss, Inc. MICROSURGERY 23:547–554 2003
ISSN:0738-1085
1098-2752
DOI:10.1002/micr.10213