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Modified "on-top-plasty" technique for restoring length to amputation stumps
V Pistre1, P Pelissier, A Ballanger
1Department of Plastic Surgery, Hôpital du Tondu, Centre Hospitalier Universitaire, Pellegrin, Bordeaux, France.
Journal of Hand Surgery (Edinburgh, Scotland)
|June 21, 2002
Summary
This study presents a modified "on-top-plasty" technique for finger stump lengthening using adjacent tissue transfer. This innovative surgical approach offers a viable solution for reconstructing amputated fingers, particularly the middle ring finger.
Area of Science:
- Hand surgery
- Reconstructive surgery
- Microsurgery
Background:
- Finger amputations present significant reconstructive challenges.
- Traditional methods like free microneurovascular toe-to-hand transfer have limitations.
- Alternative techniques are needed for patients where primary methods are contraindicated or refused.
Purpose of the Study:
- To describe and evaluate a modified "on-top-plasty" technique for finger stump lengthening.
- To report outcomes, complications, and disadvantages of this reconstructive method.
- To propose this technique as an alternative for middle ring finger reconstruction.
Main Methods:
- A modified "on-top-plasty" involving transfer of an adjacent amputation stump with reverse blood flow.
- Application in acute or secondary phases of reconstruction.
- Conventional on-top-plasty variations and prosthetic use for joint reconstruction were also considered.
Main Results:
- Successful treatment of five patients using the modified technique.
- The procedure allows for finger stump lengthening and reconstruction.
- Results, complications, and disadvantages were documented.
Conclusions:
- The modified "on-top-plasty" is a successful technique for finger stump lengthening.
- It provides a valuable reconstructive option when free microneurovascular transfer is not feasible.
- This method is particularly proposed for middle ring finger reconstruction.