Thumb Reconstruction

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Topic updated on 10/03/12 11:17pm
Introduction
Regions of Thumb Reconstuction
 
Region A
Primary closure
Toe to Thumb (wrap around)
Local flaps
Region B
Web deepening
Metacarpal lengthening
Toe to thumb
Region C
Toe to thumb
Osteoplastic thumb reconstruction
Dorsal rotational flap
Region D
Pollicization
 
Treatment
  • Rap around procedure
    • best duplicates size and appearence of thumb. Indicated when amputation is distal to MCP joint in adults.
  • Toe to Thumb
    • great toe to thumb provides mobility and growth potential and is very stable. The second toe transfer is less stable. Both use the same vascular pedicle, the first dorsal metatarsal artery (branch or dorsalis pedis)

 

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