Home > Journals > Chirurgia > Past Issues > Chirurgia 2000 October-December;13(5-6) > Chirurgia 2000 October-December;13(5-6):307-10

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

TECHNICAL NOTES   

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

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

An algorithm for thumb reconstruction

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


PDF


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.

top of page