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Microsurgical treatment for bilateral thumb defect: Five case reports
Author(s) -
Xu Lei,
Gu YuDong,
Xu JianGuang,
Rui YongJun,
Shou KuiSui
Publication year - 2003
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.10213
Subject(s) - medicine , microsurgery , surgery , neurovascular bundle , second toe , tendon transfer , thumb , dissection (medical) , dorsum , tendon , blood supply , anatomy
The authors present a new and efficient treatment for reconstruction of bilateral defective thumbs by different configured toe‐tissuestransplantations in a single stage, including bilateral second‐toe transfer in 2 cases, bilateral hallux wrap‐around flap transfer in 1 case, bilateral modified hallux wrap‐around flap transfer in 1 case, and combined second toe with island flap with neurovascular pedicles from the proximal and dorsal aspect of the index finger transfer in 1 case. In total, eight transferred tissues survived uneventfully after circulation monitor and medicine administration according to the rules of microsurgery, and in two other transferred toe tissues, temporary circulation crises occurred. Over a 1‐year follow‐up, the satisfactory appearance and excellent function of the reconstructed bilateral thumbs were noted. For ensuring the success of the procedure, the authors emphasize the establishment of a double artery supply and venous return‐flow systems and the modification of the hallux wrap‐around flap dissection and tendon repair. Meanwhile, three‐stage systemically functional rehabilitations also improved functional restoration of reconstructed thumbs. © 2003 Wiley‐Liss, Inc. MICROSURGERY 23:547–554 2003