Neurosensible reconstruction of the thumb in an emergency situation: review of 107 cases

Ricardo Horta, Rui Barbosa, Isabel Oliveira, José Manuel Amarante, Marisa Marques, Jorge Cruz Reis, Marco Rebelo
Techniques in Hand & Upper Extremity Surgery 2009, 13 (2): 85-9
Coverage of a soft tissue defect of the thumb that cannot be replanted or without bone shortening is difficult to achieve, but it is essential to preserve key-pinch and to restore a sensible and painless pulp.We reviewed retrospectively 107 cases of thumb reconstruction in an emergency situation using the following flaps: Moberg, radial innervated cross-finger, Venkataswami-Subramanian, Foucher, Tezcan, and Littler.The choice of the flap was determined by the extension and location of the injury; Foucher flap (56 cases) was the most used one, and it proved to be the best choice as shown by the results. Nevertheless, Tezcan flap also proved to be a good alternative.

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