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Microvascular segmental thumb reconstruction: a case report

R B Hamilton, W A Morrison

    British Journal of Plastic Surgery
    |January 1, 1980
    PubMed
    Summary
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    Reconstructing thumb defects is possible using great toe tissue. This method allows for functional and aesthetic restoration without foot mutilation, as shown in a successful case study.

    Area of Science:

    • Plastic Surgery
    • Microsurgery
    • Reconstructive Surgery

    Background:

    • Segmental defects in the thumb can compromise both function and aesthetics.
    • Tissue transfer options for thumb reconstruction require careful consideration of donor site morbidity and functional outcomes.

    Observation:

    • A composite free flap transfer from the great toe was utilized for thumb reconstruction.
    • The flap included pulp, tissue, nail, and bone, with successful neurovascular anastomosis.
    • The donor site defect on the great toe was simultaneously repaired.

    Findings:

    • The great toe serves as an excellent donor site for functional and aesthetic thumb reconstruction.
    • A single-stage primary reconstruction of a segmental thumb defect was achieved using a composite great toe free flap.

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  • The procedure resulted in successful restoration without significant foot mutilation.
  • Implications:

    • This technique offers a viable solution for thumb reconstruction, preserving foot integrity.
    • It highlights the potential of the great toe as a versatile tissue source in reconstructive surgery.
    • Further studies can explore long-term outcomes and patient satisfaction with this reconstructive approach.