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One‐stage reconstruction of complicated thumb injury with combination of microsurgical transplantations
Author(s) -
Cong HaiBo,
Chang ShiMin,
Qiao YongPing,
Wang ChenLin,
Sui HaiMing,
Cong Lu
Publication year - 2007
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.20328
Subject(s) - microsurgery , medicine , thumb , surgery , anastomosis , stage (stratigraphy) , anatomy , paleontology , biology
Complicated thumb loss of the hand still remains a great challenge to hand and microsurgeons. In this article, we report our technique and outcomes in 10 cases using one‐stage microsurgical procedures. In each case, three tissue transplants in combination with a sequential vascular anastomoses was performed, i.e. the second toe for the thumb, the extensor digitorum brevis for thenar opponent muscle, and the anterolateral thigh flap for the first web space, and adjacent soft tissue defects. All the transplants survived eventually. After an average of 6 years follow‐up, the results were very inspiring. Combined tissue transfer can hasten patient recovery and improve functional outcomes. However, this method needs meticulous technique and great experience in microsurgery. © 2007 Wiley‐Liss, Inc. Microsurgery, 2007.