Die Deckung ausgedehnter instabiler Narben und tiefer Haut-Weichteildefekte an der Daumenkuppe mit der Großzehen-Pulpa-Lappenplastik1

Völlinger, M; Preisser, P; Bd, Partecke

doi:10.1055/s-2001-16593

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…unbefriedigend aus [1,6,7,11]. Eine Kälteintoleranz des rekonstruierten Daumens ist im eigenen Krankengut bei allen Patienten festgestellt worden, wird jedoch auch von anderen Autoren als häufiger Nebeneffekt angegeben [6,21,26,27]. Beide Ergebnisse sind sicherlich auch der relativ kurzen Nachuntersuchungszeit geschuldet.…”

unclassified

Die sekundäre Rekonstruktion des Daumens nach Avulsions- oder Amputationsverletzung mit dem Wrap-around-toe-Flap

Mochert¹,

Raff²

2008

Handchir Mikrochir plast Chir

View full text Add to dashboard Cite

The free wrap-around toe flap, first described by Morrison in 1980, represents an option for a tailor-made reconstruction of the thumb. This technique ensures flexibility, length, sensibility and an excellent aesthetic outcome. The morbidity rate of the donor site is negligibly small. Unfavourable and therefore limiting to the indication is the absence of a possibility for a joint transfer, the lack of growth potential and the risk of bone absorption when using an iliac bone graft. Our small series includes 5 patients with an average follow-up time of 11.4 months (range: 6 - 22 months) treated from 2003 - 2006. The static two-point discrimination on average was 19 mm (range: 4 - 39 mm). All patients describe coldness intolerance. As there is no deficit in performing opposition and pinch power, there is an acceptable motion of all thumb joints. All patients report a good subjective outcome and would undergo the operation once again. In spite of the short follow-up period with moderate to good results, the wrap-around toe flap can be recommended as an appropriate and safe procedure for thumb reconstruction after an avulsion and traumatic amputation.

show abstract

unclassified

Die sekundäre Rekonstruktion des Daumens nach Avulsions- oder Amputationsverletzung mit dem Wrap-around-toe-Flap

Mochert¹,

Raff²

2008

Handchir Mikrochir plast Chir

View full text Add to dashboard Cite

show abstract

Pulp thumb defect reconstruction using a twin neurovascular island flaps: a case report

Trévisan

Mattavelli

Monteleone

et al. 2007

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

In this report, we present the functional and cosmetic results of a case with complete loss of the thumb pulp for which the Chen and Noordhoof techniques has been chosen for reconstruction. A 33-year-old man, artisan, had his right thumb caught in a machine during the work, resulting in a degloving injury in the entire pulp of the distal phalanx of the thumb with all other digits of the right hand intact. The patient was a young man, in good health and non-smoker. He was involved in a heavy manual work for which an appropriate soft coverage of the distal thumb was desirable. A reconstruction of the thumb pulp with a twin neurovascular island flaps as described by Chen and Noordhoff was planned and performed the day after his admission to the hospital. The patient turned up to work at 10 weeks after surgery. After 2 years, we obtained a good aesthetic result, a sensitivity in the thumb and at the donor site comparable to the other hand and a complete recovery of normal function of the hand. In focal pulp loss of the thumb, the twin neurovascular island flaps suggested by Chen and Noordhoff could be an easy and efficient method to reconstruct soft tissue coverage and sensibility when microsurgical setting and abilities are not available.

show abstract

Die Deckung ausgedehnter instabiler Narben und tiefer Haut-Weichteildefekte an der Daumenkuppe mit der Großzehen-Pulpa-Lappenplastik1

Cited by 2 publications

References 0 publications

Die sekundäre Rekonstruktion des Daumens nach Avulsions- oder Amputationsverletzung mit dem Wrap-around-toe-Flap

Die sekundäre Rekonstruktion des Daumens nach Avulsions- oder Amputationsverletzung mit dem Wrap-around-toe-Flap

Pulp thumb defect reconstruction using a twin neurovascular island flaps: a case report

Contact Info

Product

Resources

About