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Long-Term Follow-Up on the Donor Foot After Thumb Reconstruction Using Big Toe Wrap-Around Flap in Two Different
Zhi-Guo Ma1, Yong-Jun Guo1, Hou-Jun Yan1
1Department 2 of Orthopaedics, 252 Hospital of PLA, Baoding, 071000 China.
The Indian Journal of Surgery
|March 24, 2017
Summary
Thumb reconstruction using big toe flaps can affect donor foot function. A modified surgical technique shows fewer long-term complications and better foot function compared to the classic method.
Area of Science:
- Orthopedic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Thumb reconstruction often utilizes the big toe wrap-around flap, potentially impacting donor foot function.
- Adverse effects on the donor foot can influence patient mobility and quality of life.
Purpose of the Study:
- To compare the long-term functional outcomes of the donor foot following thumb reconstruction using classic versus modified big toe wrap-around flap techniques.
Main Methods:
- Gait analysis (walking, running, jumping) and plantar pressure measurements were performed on 45 patients.
- Patients were assessed 4-10 years post-surgery (mean 6.5 years) after receiving either the classic or modified procedure.
Main Results:
- The classic method group (21 patients) experienced various complications, with significant differences in donor foot plantar pressure during standing and walking compared to the unaffected foot.
- The modified method group (24 patients) showed no obvious complications, and their donor foot plantar pressure was similar to the unaffected foot.
Conclusions:
- Both surgical methods impact donor foot function after thumb reconstruction.
- The modified big toe wrap-around flap technique results in less adverse effect on donor foot function compared to the classic method.
