Strategies in Trauma and Limb Reconstruction

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VOLUME 4 , ISSUE 3 ( December, 2009 ) > List of Articles

CASE REPORT

One-stage thumb lengthening with use of an osteocutaneous 2nd metacarpal flap

Panagiotis Givissis, Stavros I. Stavridis, Konstantinos Ditsios, Anastasios Christodoulou

Keywords : Thumb amputation, Thumb reconstruction, Osteocutaneous flap, Metacarpal, Web space deepening

Citation Information : Givissis P, Stavridis SI, Ditsios K, Christodoulou A. One-stage thumb lengthening with use of an osteocutaneous 2nd metacarpal flap. 2009; 4 (3):135-139.

DOI: 10.1007/s11751-009-0074-z

License: CC BY-NC-SA 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2009; The Author(s).


Abstract

Traumatic thumb amputation represents an extremely disabling entity, thus rendering its reconstruction a procedure of paramount importance. A case of a patient, who sustained a traumatic amputation of his left index finger at the metacarpophalangeal joint and of his left thumb in the middle of the proximal phalanx 4 months ago and was initially treated elsewhere, is described. For the thumb reconstruction, an osteocutaneous flap of the radial side of the 2nd metacarpal, which consisted of a 3, 5-cm bony segment with the overlying skin and its blood and nerve supply was used. The flap was transferred and fixed with a plate and screws to the palmar-medial side of the stump of the thumb, while the 1st web space was deepened by removing the rest of the second metacarpal, while a partial skin graft was used to cover a remaining gap. Thumb functionality was restored immediately postoperatively, and the overall result was satisfactory.


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