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The wraparound procedure for thumb and finger reconstruction
I M Lowdon1, J A Nunley, R D Goldner
1Duke University Medical Center, Durham, NC 27710.
Microsurgery
|January 1, 1987
Summary
The wraparound procedure effectively reconstructs thumbs and fingers, offering good cosmetic and functional outcomes. This method is excellent for amputations distal to the metacarpophalangeal joint.
Area of Science:
- Orthopedics
- Plastic Surgery
- Microsurgery
Background:
- Thumb and finger amputations present significant functional and cosmetic challenges.
- Restoration of prehensile function and aesthetic appearance is crucial for patient quality of life.
Purpose of the Study:
- To evaluate the efficacy of the wraparound procedure for thumb and finger reconstruction.
- To assess functional outcomes, including pinch grip and sensibility, and patient satisfaction.
Main Methods:
- Nineteen patients underwent wraparound procedures for thumb and finger reconstruction.
- Outcomes were assessed based on functional recovery, complication rates, and patient-reported cosmesis and function.
Main Results:
- Successful digital reconstructions were achieved in 13 out of 14 cases reviewed.
- Average pinch grip was 48% of normal, with sensory return in all patients.
- Good cosmesis and function were reported, with an average toe donor site healing time of 2 months.
Conclusions:
- The wraparound procedure is a highly effective method for thumb reconstruction distal to the metacarpophalangeal joint.
- It yields excellent cosmetic and functional results, restoring significant prehensile ability and sensation.