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Related Experiment Videos

Modified great toe wrap for thumb reconstruction.

T M Tsai, D Falconer

    Microsurgery
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Thumb reconstruction using a great toe wrap-around flap offers good cosmetic and functional results. This innovative technique preserves the toe

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    Area of Science:

    • Plastic Surgery
    • Microsurgery
    • Reconstructive Surgery

    Background:

    • Traumatic thumb amputation presents significant functional and cosmetic challenges.
    • Restoring thumb form and sensation is crucial for hand function.
    • Existing reconstructive methods have limitations in achieving optimal outcomes.

    Observation:

    • A novel technique for thumb reconstruction using a neurosensory free wrap-around flap from the great toe was employed.
    • The flap design incorporates innervated glabrous skin, nail, and nail matrix from the toe.
    • Preservation of the great toe's length and plantar weight-bearing surface was prioritized.

    Findings:

    • Three patients underwent successful thumb reconstruction with this method.
    • Postoperative follow-up averaging 15 months demonstrated good cosmetic appearance.

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  • Sensory recovery in the reconstructed thumb was comparable to established literature benchmarks.
  • Satisfactory nail growth was observed in the reconstructed thumb.

    • Implications:

    • This technique provides a viable option for thumb reconstruction with excellent aesthetic and functional results.
    • The modified great toe flap offers a balance between reconstruction and donor site preservation.
    • Further studies can explore long-term outcomes and broader application of this reconstructive approach.