Composite osteocutaneous groin flap combined with neurovascular island flap for thumb reconstruction. Journal of hand surgery (Edinburgh, Lothian) [J Hand Surg [Br]] Journal article | | Title | Composite osteocutaneous groin flap combined with neurovascular island flap for thumb reconstruction. | | Author(s) | Parmaksizoglu F, Beyzadeoglu T | | Institution | Department of Orthopaedics and Traumatology, School of Medicine, Yeditepe University, Istanbul, Turkey. fatihparmaksiz@superonline.com | | Source | J Hand Surg [Br] 2003 Oct; 28(5):399-404. | | MeSH | Adult
Amputation, Traumatic
Female
Groin
Humans
Male
Reconstructive Surgical Procedures
Sensation
Surgical Flaps
Thumb
Treatment Outcome
| | Abstract | Three amputated thumbs were reconstructed with a composite osteocutaneous groin flap and a neurovascular island flap. The average age at the time of surgery was 28 (range 25-35) years. The level of the amputation was distal to metacarpophalangeal joint in two cases and proximal in one case. The injury mechanism was avulsion in all cases. The postoperative follow-up periods ranged from 27 to 30 months. There were no cases of skin necrosis, bone resorption or infection. Radiographs and three-phase bone scans showed union of the iliac bone block and the stump without any resorption in all three patients. This surgical procedure is reliable and simple and the functional results are satisfying. We reserve this technique for the treatment of thumb amputations which cannot be replanted, particularly as it does not result in bone resorption. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 12954245 |
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