Distal thumb reconstruction using a mini wrap-around flap from the great toe

Citation
R. Adani et al., Distal thumb reconstruction using a mini wrap-around flap from the great toe, J HAND S-BR, 24B(4), 1999, pp. 437-442
Citations number
20
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME
ISSN journal
02667681 → ACNP
Volume
24B
Issue
4
Year of publication
1999
Pages
437 - 442
Database
ISI
SICI code
0266-7681(199908)24B:4<437:DTRUAM>2.0.ZU;2-E
Abstract
We hare used a great toe mini wrap-around flap for reconstruction of the th umb at, or distal to, the interphalangeal joint. Our series included 12 pat ients,vith traumatic amputations. A flap including the entire nail and most of the distal phalanx of the great toe was used. Eleven of the grafts surv ived. Sensibility was good with an average of 10 mm static two-point discri mination (range, 5-15) and there were no complaints of cold intolerance. Al l patients were pleased with the appearance of the thumb and there was no s ignificant morbidity at the great toe donor site. The great toe mini wrap-a round flap is an excellent reconstruction technique for selected patients w ith distal thumb amputations.