Yu Guang,Xu Hongyan,Lei Hongyu,Guo Shuang,Huang Jianhua,Li Dibin.[J].Chin J Traumatol,2014,17(6):354-357. [doi]

Combined index finger pollicization with an anterolateral thigh flap for thumb reconstruction

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KeyWord: Thumb Reconstructive surgical procedures Surgical flaps Hand

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Author Name	Affiliation
Yu Guang	Department of Hand and Foot Surgery, Kangyi Hospital of Dongguan, Dongguan 523047, Guangdong Province, China
Xu Hongyan	Department of Hand and Foot Surgery, Kangyi Hospital of Dongguan, Dongguan 523048, Guangdong Province, China
Lei Hongyu	Department of Hand and Foot Surgery, Kangyi Hospital of Dongguan, Dongguan 523049, Guangdong Province, China
Guo Shuang	Department of Hand and Foot Surgery, Kangyi Hospital of Dongguan, Dongguan 523050, Guangdong Province, China
Huang Jianhua	Department of Hand and Foot Surgery, Kangyi Hospital of Dongguan, Dongguan 523051, Guangdong Province, China
Li Dibin	Department of Hand and Foot Surgery, Kangyi Hospital of Dongguan, Dongguan 523052, Guangdong Province, China

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Abstract:

A severe crush injury to the hand is devastating to patients. Under conditions in which the crush force is too great, the digits are not viable candidates for replantation. We present two cases in which the patients suffered from loss of the thumb ray at the first carpometacarpal joint and skin defect at the radial side. The tendons, radial nerve and metacarpal bone of the index finger were injured, and the second metacarpal head was retained. There was a comminuted fracture of the trapezium in both patients. The treatment protocols consisted of the index finger pollicization and the free anterolateral thigh flap transfer. The procedure was performed in a single operation. The new thumb is able to provide a stable post for pinch and grip after six months follow-up. Both patients were satisfied with the function and appearance of the reconstructed thumb.

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