Donor Foot Morbidity Following Modified Wraparound Flap for Thumb Reconstruction: A Follow-Up of 69 Cases

2011 ◽  
Vol 36 (3) ◽  
pp. 493-501 ◽  
Author(s):  
Yong-wei Pan ◽  
Lishan Zhang ◽  
Wen Tian ◽  
Guanglei Tian ◽  
Junhui Zhao ◽  
...  
Keyword(s):  
Thumb Reconstruction ◽  
Foot Morbidity

A Comparative Study of the Heterodigital Neurovascular Island Flap in Thumb Reconstruction, with and without Nerve Reconnection

1994 ◽  
Vol 19 (5) ◽  
pp. 552-559 ◽  
Author(s):  
R. ADANI ◽  
P. B. SQUARZINA ◽  
C. CASTAGNETTI ◽  
A. LAGANÁ ◽  
G. PANCALDI ◽  
...  
Keyword(s):  
Donor Site ◽  
Functional Results ◽  
Flap Reconstruction ◽  
Hypertrophic Scarring ◽  
Digital Nerve ◽  
Thumb Reconstruction ◽  
Cold Intolerance ◽  
Scar Contracture ◽  
Sensory Acuity

41 heterodigital neurovascular island flaps were used to cover defects of the tactile pad of the thumb in 17 years. With an average follow-up of 75.5 months, 30 patients were reviewed. 17 were treated by the original Littler technique and 13 were treated with the same flap reconstruction but with division of the digital nerve innervating the flap and re-anastomosis of this nerve to the proximal nerve end of the ulnar digital nerve of the thumb. Good aesthetic and functional results were achieved in both groups. Sensory acuity did not appear to decrease with time. The nerve reconnection technique solves the “double sensibility” phenomenon (present in 41.1% of our cases treated by the original technique), but two-point discrimination is less than that achieved by the Littler technique. Most complaints were related to the donor site such as hypertrophic scarring or scar contracture and cold intolerance, but these did not cause any real functional impairment.

Composite Osteocutaneous Groin Flap Combined with Neurovascular Island Flap for Thumb Reconstruction

2003 ◽  
Vol 28 (5) ◽  
pp. 399-404 ◽  
Author(s):  
F. PARMAKSIZOGLU ◽  
T. BEYZADEOGLU
Keyword(s):  
Bone Resorption ◽  
Functional Results ◽  
Metacarpophalangeal Joint ◽  
Island Flap ◽  
Bone Block ◽  
Thumb Reconstruction ◽  
Groin Flap ◽  
Three Phase ◽  
Bone Scans

Three amputated thumbs were reconstructed with a composite osteocutaneous groin flap and a neurovascular island flap. The average age at the time of surgery was 28 (range 25–35) years. The level of the amputation was distal to metacarpophalangeal joint in two cases and proximal in one case. The injury mechanism was avulsion in all cases. The postoperative follow-up periods ranged from 27 to 30 months. There were no cases of skin necrosis, bone resorption or infection. Radiographs and three-phase bone scans showed union of the iliac bone block and the stump without any resorption in all three patients. This surgical procedure is reliable and simple and the functional results are satisfying. We reserve this technique for the treatment of thumb amputations which cannot be replanted, particularly as it does not result in bone resorption.

Resorption of Iliac Bone Grafts Following Wrap-Around Flap for Thumb Reconstruction: A Follow-Up Study

2020 ◽  
Vol 45 (1) ◽  
pp. 64.e1-64.e8 ◽  
Author(s):  
Kai Yang ◽  
Zhe Zhao ◽  
Yongwei Pan ◽  
Fei Song ◽  
Jiuzheng Deng ◽  
...  
Keyword(s):  
Bone Grafts ◽  
Iliac Bone ◽  
Thumb Reconstruction ◽  
Follow Up Study

scholarly journals Thumb Reconstruction with Arthrodesis to the Second Metacarpal following Sarcoma Excision

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Christopher Hein ◽  
Barry Watkins ◽  
Lee M. Zuckerman
Keyword(s):  
Hand Function ◽  
Proximal Phalanx ◽  
Tumor Resection ◽  
Thumb Reconstruction ◽  
Complete Tumor Resection ◽  
Metacarpal Shaft ◽  
Malignant Lesions ◽  
Graft Reconstruction ◽  
Complete Tumor

Primary sarcomas of the thumb metacarpal are rare malignant lesions. Surgical treatment involves amputation versus tumor resection with thumb reconstruction. If complete tumor resection is possible, thumb preservation may be considered, as the thumb is vital to hand function. Following tumor resection, previous reports have described graft reconstruction with fusion to the trapezium or scaphoid. We present two cases of sarcoma necessitating resection of the thumb metacarpal that were reconstructed with an arthrodesis of the proximal phalanx to the second metacarpal shaft. Arthrodesis to the second metacarpal allows robust bony contact for fusion as well as improved resting position of the thumb. At 2- and 4-year follow-up, both patients have a stable, pain-free thumb without evidence of local recurrence.

Long-term functional results of microvascular toe-to-thumb reconstruction

2010 ◽  
Vol 36 (3) ◽  
pp. 194-204 ◽  
Author(s):  
T. Kotkansalo ◽  
S. Vilkki ◽  
P. Elo ◽  
T. Luukkaala
Keyword(s):  
Recovery Of Function ◽  
Hand Function ◽  
Functional Results ◽  
Inclusion Criteria ◽  
Clinical Tests ◽  
Thumb Reconstruction ◽  
Initial Injury ◽  
Toe Transfer

The purpose of this study was to evaluate the long-term functional results of microvascular toe-to-thumb reconstruction after trauma. Forty-one patients meeting the inclusion criteria were available for a clinical follow-up study. The function of the hand was assessed with questionnaires as well as with modified Tamai and Sollerman hand function tests. According to the questionnaires, most activities were considered easy or quite easy and the majority of the patients (36/41) managed with no or minor complaints. Clinical tests showed good recovery of function. Patient satisfaction was high. There were superficial infections in five hands and in six donor feet. In total, 16 late corrective operations were done to eight patients. Microvascular toe transfer is a good option for grip reconstruction after thumb amputation. The extent of the initial injury influences the achievable outcome, yet even a single toe transfer can restore adequate grip function.

Thumb reconstruction with a free neurovascular wrap-around flap from the big toe: Long-term follow-up of thirty cases

Microsurgery ◽  
1995 ◽  
Vol 16 (10) ◽  
pp. 692-697 ◽  
Author(s):  
Kwang Suk Lee ◽  
In Jung Chae ◽  
Seung Beom Hahn
Keyword(s):  
Thumb Reconstruction ◽  
Long Term Follow Up

scholarly journals Long-Term Follow-Up on the Donor Foot After Thumb Reconstruction Using Big Toe Wrap-Around Flap in Two Different Operation Methods

2015 ◽  
Vol 79 (1) ◽  
pp. 6-12 ◽  
Author(s):  
Zhi-Guo Ma ◽  
Yong-Jun Guo ◽  
Hou-Jun Yan ◽  
Qi-Ming Li ◽  
Bin Ma
Keyword(s):  
Thumb Reconstruction ◽  
Long Term Follow Up

scholarly journals Factors affecting sensory recovery after thumb reconstruction using a wrap-around flap

2020 ◽  
Vol 45 (8) ◽  
pp. 838-841
Author(s):  
Tetsuo Masuda ◽  
Toru Sunagawa ◽  
Osami Suzuki ◽  
Hiroshi Kurumadani ◽  
Feng Peng ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Multivariate Analyses ◽  
Preoperative Period ◽  
Thumb Reconstruction ◽  
Level Of Evidence ◽  
Factors Affecting ◽  
Factors Influencing ◽  
Sensory Recovery ◽  
Better Than

This study evaluated factors affecting sensory restoration after thumb reconstruction using a wrap-around flap in 21 thumbs in patients aged 11 to 50 years old. The patients were followed from 12 to 94 months after surgery. Static and moving 2-point discrimination of the reconstructed pulp was measured and analysed using multiple regression analysis. According to the univariate and multivariate analyses, the preoperative period, the number of nerve coaptations, and the duration of follow-up all significantly affected sensory recovery. Sensory recovery with more than three coaptations was significantly better than those with less than three coaptations, and the number of nerve coaptations was one of the primary factors influencing sensory recovery. We conclude from this study that the wrap-around flap should be performed soon after injury and that surgeons should try to coaptate three or more nerves to enhance sensory recovery. Level of evidence: IV

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