Reconstruction of Thumb

Reconstruction of the thumb.

Post-traumatic thumb reconstruction.

Many options exist for the management of post-traumatic thumb reconstruction. While the single most important factor for determining the most appropriate procedure is the level of the amputation, many other factors must be considered including patient considerations regarding function and cosmesis as well as the nature of the injury and the expertise of the surgeon. Patients must be included in...

CME Posttraumatic Thumb Reconstruction

Background: The function of the thumb is critical to overall hand function. Uniquely endowed with anatomic features that allow circumduction and opposition, the thumb enables activities of pinch, grasp, and fine manipulation that are essential in daily life. Destruction of the thumb secondary to trauma represents a much more significant loss than would result from loss of any other digit. There...

Thumb reconstruction - down memory lane

The importance of the thumb can be gauged from ancient Indian mythology where it is mentioned in the Mahabharatha. Drona poignantly demands the thumb as a gift for his gurudakshina from Ekalavya. As mentioned by Napier, the absence of the thumb, whether congenital or post-traumatic, significantly impairs hand function. Although technical advances have led to changes in surgical methods, the gen...

Thumb Reconstruction Using Foucher’s Flap

BACKGROUND Extensive pulp defects of the thumb, with the exposure of tendon or bone, are challenging reconstructive problems. Surgical treatment includes the use of local, regional, and free flaps. AIM This paper is focused in Foucher's neuro vascular flap. First DMCA or Foucher's pedicle flap is a successful thumb reconstruction method, especially in patients not disturbed by its cosmetic ap...