Free Combined Thin Wrap-Around Flap with a Second Toe Proximal Interphalangeal Joint Transfer for Reconstruction of the Thumb

Koshima, Isao; Kawada, Satoshi; Etoh, Hisashi; Saisho, Hiroshi; Moriguchi, Takahiko

doi:10.1097/00006534-199510000-00033

Cited by 22 publications

(10 citation statements)

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“…The amount of bone resorption measured by the length of the graft and width of its middle portion on immediate postoperative roentgenograms showed that 13 percent of its width and 9 percent of its length were resorbed in the 11 cases where bone grafts were used. Recently, Tsai and Aziz 11 and Koshima et al 12 have introduced a method of using the wrap-around flap from the big toe and free vascularized joints from the second toe. This method has the advantage of a vise pinch, no need for an iliac bone graft, and the possibility of bone growth in pediatric cases.…”

Section: Discussionmentioning

confidence: 99%

Finger Reconstruction with a Free Neurovascular Wrap-Around Flap from the Big Toe

Hahn¹,

Park²,

Kang³

et al. 2001

J reconstr Microsurg

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From 1983 to 1998, 16 cases of finger reconstruction with a free neurovascular wrap-around flap from the big toe were treated. Fourteen cases were successful, and two cases failed. The authors reviewed these cases on the average of about 38 months after surgery. Pinch power was 51 percent of the unaffected normal hand, and two-point discrimination was 7.6 mm. The mean resorption of the grafted bone was 13 percent in width and 9 percent in length. There were no complications such as fracture of the grafted bone, nonunion, and pulp dislodgement. This procedure provided length, stability, and adequate sensibility for a functional pinch and grasp. Sensory return to the wrap-around flap on the thumb was often greater than for the same area on the opposite foot. The donor site of the wrap-around flap was acceptable, both aesthetically and functionally, and allowed the wearing of open-toed shoes by young women. Finger reconstruction with a wrap-around flap from the big toe yielded excellent cosmetic and functional results in cases involving amputation at the level of the metacarpophalangealjoints or distal to it. In addition, this procedure was an excellent choice for treatment in cases involving avulsion injuries of the fingers and reconstruction of soft-tissue defects after tumor excision.

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Section: Discussionmentioning

confidence: 99%

Finger Reconstruction with a Free Neurovascular Wrap-Around Flap from the Big Toe

Hahn¹,

Park²,

Kang³

et al. 2001

J reconstr Microsurg

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show abstract

“…[13][14][15] Tsai and Aziz 16 proposed a slight modification of Foucher's surgery that allows preservation of all 5 toes. Unfortunately all of these techniques are difficult, involving dissection of 2 free flaps (hallux, proximal interphalangeal joint), and have not gained popularity: only a few cases [17][18][19] have been reported.…”

Section: Discussionmentioning

confidence: 99%

A Technique to Improve Foot Appearance After Trimmed Toe or Hallux Harvesting

Piñal

García-Bernal

Regalado

et al. 2007

The Journal of Hand Surgery

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“…Further modifications of this method using preoperative distraction lengthening, extended length and combined with a second toe proximal interphalangeal joint have all been described. 75 However it is worth remembering that the distracted thumb is stiff and this, combined with often inadequate soft tissue cover, means that the reconstruction may not be as useful as expected. 76,77 This is a useful technique for lengthening the thumb metacarpal and preserves the inherent sensation of the thumb soft tissue envelope.…”

Section: Modifications Of Great Toe Transfermentioning

confidence: 99%

Amputations, replantation and thumb reconstruction

Bourke

2015

Plastic and Reconstructive Surgery

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Free Combined Thin Wrap-Around Flap with a Second Toe Proximal Interphalangeal Joint Transfer for Reconstruction of the Thumb

Cited by 22 publications

References 0 publications

Finger Reconstruction with a Free Neurovascular Wrap-Around Flap from the Big Toe

Finger Reconstruction with a Free Neurovascular Wrap-Around Flap from the Big Toe

A Technique to Improve Foot Appearance After Trimmed Toe or Hallux Harvesting

Amputations, replantation and thumb reconstruction

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