2008
DOI: 10.1002/micr.20519
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Combination of fillet and triangular flaps for the web reconstruction in pollicization: A case report

Abstract: Thumb hypoplasia represents a major disability requiring sophisticated reconstructive procedures. One of the basic criteria of the pollicization to construct a functional thumb is scar free web reconstruction. In this article, a technique to avoid excessive scarring in the first web space reconstruction by filleting out the hypoplasic thumb combining with a triangular flap is presented. A 5-year-old girl was presented. She had a Back-Gramcko type IV thumb hypoplasia. A triangular flap was planned on radial bor… Show more

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“…Fillet flaps have been described as composite axial pattern flaps, which can be used either pedicled or free, for coverage, 35,36 for webspace reconstruction, 37 and for restoration of digital function, when including muscle and tendon 4,38,39 or bone. 40 Fillet flaps from nonsalvageable digits have been considered as a logical extension of the spare parts concept 38 and should always be kept in mind as a versatile reconstructive option.…”
Section: Discussionmentioning
confidence: 99%
“…Fillet flaps have been described as composite axial pattern flaps, which can be used either pedicled or free, for coverage, 35,36 for webspace reconstruction, 37 and for restoration of digital function, when including muscle and tendon 4,38,39 or bone. 40 Fillet flaps from nonsalvageable digits have been considered as a logical extension of the spare parts concept 38 and should always be kept in mind as a versatile reconstructive option.…”
Section: Discussionmentioning
confidence: 99%