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Osteoplastic Thumb Reconstruction in the Immediate Setting: A Case Series.
Yusha Liu1, Erin A Miller1, Corinne E Wee2
1the Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, Wash.
Immediate osteoplastic thumb reconstruction offers a viable solution for traumatic amputations when replantation isn't possible. This technique provides significant length gain and stable outcomes with fewer complications.
Area of Science:
- Hand surgery
- Microsurgery
- Orthoplastic reconstruction
Background:
- Traumatic thumb amputation severely impairs hand function.
- Delayed reconstruction is common but complex, often requiring microsurgery.
- This study presents an immediate osteoplastic reconstruction technique.
Purpose of the Study:
- To illustrate a technique for immediate osteoplastic thumb reconstruction.
- To evaluate the feasibility and outcomes of this approach.
Main Methods:
- Case series of patients with unreplantable thumb amputations.
- Immediate osteoplastic reconstruction using bone autograft and pedicled groin flap.
- Data collected on operative time, revisions, length gain, and clinical outcomes.
Main Results:
- Five patients underwent immediate reconstruction.
- Average operative time was 158 minutes.
- Average length gain was 3.3 cm with stable outcomes for at least 12 months.
Conclusions:
- Osteoplastic thumb reconstruction is effective for select traumatic amputations.
- Advantages include shorter operative times, minimal donor site morbidity, and a reproducible technique.
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