A simple approach to thumb amputation reconstruction at metacarpal base with toe transfer, two case reports

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Reconstruction of an Entire Thumb Metacarpal: A Case Report

This case report discusses the reconstruction of an entire thumb metacarpal after a diagnosis of giant cell tumor of bone. The patient underwent excision of the entire thumb metacarpal, followed by interposition of a tricortical iliac crest bone graft and metacarpophalangeal and carpometacarpal joint arthrodeses. This option allowed salvage of the patient's native thumb with functional use as a...

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Reconstruction of the thumb amputation at the carpometacarpal joint level by groin flap and second toe transfer.

INTRODUCTION Traumatic loss of thumb at the carpometacarpal (CMC) joint level is very disabling to an individual. Pollicisation is the recommended technique of reconstruction for loss of thumb at this level. On occasions, injury to the rest of the hand or amputation of additional fingers may make pollicisation an impossible option. Microsurgical transfer of second toe is an option in such situa...

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Great Toe-to-Thumb Hemi-Pulp Transfer

Figure 1. Full-thickness defect of the volar aspect of the right distal thumb. DESCRIPTION A 56-year-old right-hand-dominant man sustained an avulsion injury to his right thumb while operating a rotating chain machine, resulting in a full-thickness traumatic defect of the volar aspect of the distal thumb measuring 7 cm 2 (Fig 1).

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Reconstruction of the thumb by microvascular transfer of the great toe. A case report.

TRAUMATIC amputation of the thumb is a particularly severe hand injury, because of the unique functional role of the thumb, and several methods exist for reconstruction of the thumb, all of which have disadvantages. Microvascular technique allows the transfer of a block of tissue from one site to another, by anastomosis of vessels with a known vascular territory to the vessels in the recipient ...

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Metacarpal lengthening after traumatic amputation of the thumb.

In nine patients of median age 34 years who had sustained an amputation of the thumb at a median 24 (5 to 131) months previously, we lengthened the first metacarpal by 30 (17 to 36) mm. Seven amputations had been through the proximal phalanx and two through the metacarpal. The first two patients had autogenous grafting at a second stage, but the other seven had callotasis alone. In these patien...

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ژورنال

عنوان ژورنال: International Journal of Surgery Case Reports

سال: 2020

ISSN: 2210-2612

DOI: 10.1016/j.ijscr.2020.02.037