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Thumb reconstruction by the wrap-around method.

J A Nunley, R D Goldner, J R Urbaniak

    Clinical Orthopaedics and Related Research
    |May 1, 1985
    PubMed
    Summary
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    Thumb reconstruction after amputation is possible using the "wrap-around" technique. This single-stage surgery restores sensation and aesthetics by wrapping a great toe flap around an iliac crest bone graft.

    Area of Science:

    • Plastic Surgery
    • Microsurgery
    • Reconstructive Surgery

    Background:

    • Thumb amputation distal to the metacarpophalangeal joint presents a reconstructive challenge.
    • Restoring both form and function, including sensation and aesthetics, is crucial for patient outcomes.

    Purpose of the Study:

    • To describe and evaluate the efficacy of the
    • wrap-around
    • procedure for single-stage thumb reconstruction.
    • To assess the functional and aesthetic results of this innovative surgical technique.

    Main Methods:

    • The
    • wrap-around
    • procedure involves using an iliac crest graft for bone reconstruction.
    • A neurovascularly intact flap from the great toe, including the toenail, is utilized to restore soft tissue coverage and sensation.

    Related Experiment Videos

  • The procedure is performed in a single surgical sitting.

    • Main Results:

    • Excellent aesthetic results were achieved in all patients.
    • Sensibility was successfully restored to the reconstructed thumb via the transferred flap.
    • The toenail was transferred, contributing to a natural appearance.

    Conclusions:

    • The
    • wrap-around
    • procedure offers a viable and effective single-stage solution for thumb reconstruction.
    • This technique successfully addresses bone, soft tissue, sensation, and aesthetic concerns in thumb amputations.
    • The procedure demonstrates excellent outcomes in patient series, highlighting its reconstructive potential.