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A Journal on Surgery

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Chirurgia 2000 October-December;13(5-6):307-10

language: Italian

An algorithm for thumb reconstruction

Delia G., Quatra F., Soliera L., Pellicano P., Colonna M. R.

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Thumb reconstruction is indicated for some malformations and for post-traumatic or post-surgical deformities. It is useful to distinguish lateral defects and amputations at the distal, middle or proximal third. The different techniques available, in case of lateral defects or amputations without significant shortening of the thumb, include skin grafts, homodigital, heterodigital, regional and distant (pedicled or microsurgical) flaps. In case of amputation with significant shortening a first web deepening may be performed or a bone distractor applied. Finally, in case of total or subtotal absence of the thumb, the most suitable techniques are pollicization of the second finger and toe-to-hand transfer.

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