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The Bilobed Racquet Flap or Extended Seagull Flap for Thumb Reconstruction: A Case Report
José Couceiro1, Mariangeles De la Red-Gallego1, Luis Yeste1
1* Hand Surgery Unit, Orthopaedics Department, Hospital Marques de Valdecilla, Cantabria, Spain.
The Journal of Hand Surgery Asian-Pacific Volume
|February 8, 2018
Summary
This study presents a novel surgical technique for thumb reconstruction. A bilobed racquet flap successfully treated a severe thumb degloving injury, offering a new option for extensive soft tissue defects.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Soft tissue defects of the thumb pose significant reconstructive challenges.
- Standard dorsal metacarpal artery flaps are often insufficient for extensive or 360° circumferential thumb defects.
Observation:
- The authors encountered a case of a severe thumb degloving injury requiring extensive soft tissue reconstruction.
- Existing flap techniques were deemed inadequate for the 360° defect.
Findings:
- A bilobed racquet flap, a variation not previously reported for this condition, was successfully employed.
- This flap design allowed for complete coverage of the circumferential thumb defect.
Implications:
- The bilobed racquet flap represents a viable and potentially superior alternative for treating extensive thumb degloving injuries.
- This technique expands the reconstructive armamentarium for complex hand trauma.
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