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Case report: Immediate thumb reconstruction using reverse radial flap surgical technique
Daniel Eduardo Saldívar Martinez1, Roberto Martínez Mejorada1, Mauricio Manuel García Pérez2
1Resident of Plastic and Reconstructive Surgery of Hospital Universitario UANL "Dr. José Eleuterio Gonzalez", Monterrey, NL, Mexico.
Introduction:
The human hand is highly mobile and functional, being essential in the prehensile function. Thumb injuries are divided into distal, medial and proximal. Post-traumatic defects in the thumb can lead significant functional impairment. Reconstructive is always de primary goal to preserve function without pain.
Case Presentation:
The case of a 37-years-old male, right hander, with a traumatic avulsion of the thumb in the right hand. On physical examination, exposure of the tendon and bone with distancing from the metacarpophalangeal joint, mobility function and Allen's clinical test of the palmar arch was preserved. We plan a reverse radial flap for coverage.
Clinical Discussion:
The anatomy of the hand represents a scope in working life and recreative activities. Surgical techniques are the primary tool in the management of reconstruction, being designed with the intention of maintaining integrity and optimal function. Flaps are a fundamental pillar in reconstructive practice.
Conclusion:
The reverse radial forearm flap provides benefits among the reconstructive methods for soft tissues of coverage dorsal or palmar area of the hand in the scenario where the thumb suffers from slack and tissue is not available for reimplantation and when microsurgical options are not viable.
