Composite Osteocutaneous Groin Flap Combined with Neurovascular Island Flap for Thumb Reconstruction

Parmaksizoglu, Fatih; Beyzadeoğlu, Tahsin

doi:10.1016/s0266-7681(02)00277-2

Cited by 9 publications

(11 citation statements)

References 24 publications

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“…The authors assessed the results achieved with osteoplasty in 4 patients as good (24). Parmaksizoglu presented good results achieved in 3 patients and stressed the high efficiency of this operational approach (25). It should be emphasized that the patients described by both the authors had their thumbs amputated at the MCP joint and the presence of intact fingers made it possible to form easily a sensory island.…”

Section: Discussionmentioning

confidence: 84%

Filling of Tissue Defects in the Hand With A Pediculed Osteocutaneous Groin Flap

Jabłecki¹,

Kaczmarzyk²,

Domanasiewicz³

et al. 2009

Polish Journal of Surgery

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Section: Discussionmentioning

confidence: 84%

Filling of Tissue Defects in the Hand With A Pediculed Osteocutaneous Groin Flap

Jabłecki¹,

Kaczmarzyk²,

Domanasiewicz³

et al. 2009

Polish Journal of Surgery

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“…According to some authors, harvesting of longer part of the second metatarsal bone does not impair function of the foot (4, 7). Thus, it seems to be a better solution than ocgf (14,44,45).…”

Section: Resultsmentioning

confidence: 97%

“…distal to MP I joint). Only minor areas of the hand and transferred tissues from tions (44,45). Vascularization of iliac crest in ocgf originates from superficial circumflex iliac artery which is an axial vessel of groin flap.…”

Section: Resultsmentioning

confidence: 99%

Procedures of Soft Tissues Reconstructions of the Hand Preceding Toe-to-Hand Transfers

Molski¹

2009

Polish Journal of Surgery

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Extensive defects, damage and resulting scarring of tissues frequently accompany amputation of fingers. Better functional result of rebuilt thumb using toe can be achieved when soft tissue reconstruction is performed in first stage. The aim of the study was to present current methods of soft tissue reconstruction and evaluation of their results in patients after thumb rebuilt with toe. Material and methods. In 18 males (aged 15-45, mean 25) of 75 patients after hand trauma and thumb reconstruction by toe-to-hand transfer, rebuilding of soft tissues of the hand was also required. This operation, as the first stage of reconstruction, was performed in 16 cases and in 2 cases both stages (soft tissue and thumb reconstructions) were conducted simultaneously during one procedure. Various methods of soft tissue reconstruction on hand and thumb were used. Between 1986 and 1996 pedicled groin flap was most frequently performed (8 cases). After 2000 adipocutaneous flap based on perforators of radial artery located in distal forearm was a dominating method of soft tissues reconstruction (5 cases). Thumb was rebuilt with the second toe most frequently (13 cases). Results. Despite observed complications in flap healing, sufficient coverage was achieved to conduct toe-to-thumb transfer in all cases. Osteocutaneous groin flap did not bring expected advantages in bone reconstruction within the first ray of the hand. The time interval from injury to soft tissue reconstruction (0-27 months) and the time from soft tissue reconstruction to thumb restoration (0-12 years) had no influence on final result of treatment. Conclusions. Pedicled adipocutaneous groin flap is still one of the basic methods of treating extensive posttraumatic defects of the hand soft tissues. In cases of minor tissue loss causing adduction contracture of the first metacarpal bone, particularly after explosive injuries, distally pedicled adipocutaneous flap supplied by radial artery perforators is a simple and effective therapeutic option. This method has two significant advantages in comparison to groin flap: fixation of the hand in uncomfortable position is not required and reconstruction can be completed in one-stage. Further recognition and understanding of the flap tissues healing process require careful clinical observations.

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“…2 In these cases, many options for delayed thumb reconstruction exist, including metacarpal lengthening, webspace deepening, osteoplastic reconstruction, pollicization, and toe transfer. [2][3][4][5][6][7][8][9][10] Osteoplastic reconstruction is an excellent option to increase thumb length without the need for microsurgical skills or equipment. Historically performed in a delayed manner, this technique combines a large piece of autologous cortical bone graft, typically harvested from the iliac crest, with soft tissue coverage by a pedicled groin flap or distally based radial forearm flap.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Osteoplastic Thumb Reconstruction in the Immediate Setting: A Case Series

Liu

Miller

Wee

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Traumatic thumb amputation can have devastating effects on residual hand function. When replantation is not possible, thumb reconstruction is often performed in a delayed manner and may require multiple stages. Furthermore, reconstruction techniques often require microsurgical skills and equipment, which are not readily available at all institutions. This case series illustrates our technique for immediate osteoplastic thumb reconstruction following traumatic amputation. Methods: This is a case series involving all patients who sustained unreplantable thumb amputations and underwent immediate osteoplastic thumb reconstruction with bone autograft and pedicled groin flap by the senior author from September 2016 through August 2018. Results: Five patients underwent immediate osteoplastic thumb reconstruction during the study period. Total operative time for the initial osteoplastic reconstruction averaged 158 minutes (range 96–290 minutes). In addition to flap division surgery, patients underwent an average of 1.2 revision procedures (range 0–2), primarily for debulking and hardware removal. Patients achieved an average gain in length of 3.3 cm compared with the maximum anticipated length with revision amputation at the time of injury, and had stable clinical outcomes for a minimum of 12 months. Conclusions: Osteoplastic thumb reconstruction is a useful technique for thumb reconstruction for select patients following traumatic thumb amputation. Advantages of this approach include shorter overall operative times and hospital length of stay, minimal donor site morbidity, and a straightforward, reproducible technique.

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Composite Osteocutaneous Groin Flap Combined with Neurovascular Island Flap for Thumb Reconstruction

Cited by 9 publications

References 24 publications

Filling of Tissue Defects in the Hand With A Pediculed Osteocutaneous Groin Flap

Filling of Tissue Defects in the Hand With A Pediculed Osteocutaneous Groin Flap

Procedures of Soft Tissues Reconstructions of the Hand Preceding Toe-to-Hand Transfers

Osteoplastic Thumb Reconstruction in the Immediate Setting: A Case Series

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