| Title | Functional outcome after the Moberg advancement flap in the thumb. | | Author(s) | Baumeister S, Menke H, Wittemann M, Germann G | | Institution | Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Ludwig-Guttmannstrasse 13, 67071 Ludwigshafen, Germany. | | Source | J Hand Surg [Am] 2002 Jan; 27(1):105-14. | | MeSH | Adolescent
Adult
Aged
Amputation, Traumatic
Child
Disability Evaluation
Female
Finger Joint
Hand Strength
Humans
Male
Middle Aged
Range of Motion, Articular
Recovery of Function
Retrospective Studies
Surgical Flaps
Thumb
Time Factors
Touch
Treatment Outcome
| | Abstract | A Moberg palmar advancement flap was performed for pulp reconstruction of the thumb in 36 cases. No flap was lost. Eighty-three percent of the defects were closed without additional iatrogenic bony shortening of the thumb. Sensory testing showed normal sensitivity in 74% of the 25 patients studied at a mean of 27 months. Minor restrictions in the active range of motion in the interphalangeal joint were mainly attributable to a loss of hyperextension. No thumb showed a permanent flexion contracture. The flap alone did not result in a reduction in grip strength, but an additional bony amputation resulted in decreased strength of 3-point pinch grip. Seventy-two percent of the patients had no or only mild subjective complaints. The Disabilities of the Arm, Shoulder, and Hand questionnaire, which was used for the first time as a standardized measure to assess functional outcome after this procedure, showed only minor impairment levels (12.4 +/-). Based on these data, the Moberg advancement flap remains the procedure of choice for covering defects of the distal palmar thumb. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 11810623 |
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