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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2013, Number 1

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An Med Asoc Med Hosp ABC 2013; 58 (1)

Modified great-toe wraparound flap. Case report

Romo RR, Mallen TA, Mendoza MM

Language: Spanish
References: 14
Page: 47-51
PDF size: 588.86 Kb.


ABSTRACT

Traumatic injuries of the hand especially in the thumb causes various important alterations for the function of the hand and limb, reconstruction of the thumb is a challenge and there are various techniques for management. We report the case of a 40 year old male patient sustaining a crushing thumb traumatism with a metal press that caused a comminuted fracture of proximal and distal phalanges, neurovascular injury and later the presence of a necrosis thumb. As treatment we performed an amputation of the thumb distal to the metacarpophalangeal joint with reconstruction using a modified wrap-around flap of the thumb to hallux amended. Different scales were used to assess limb function, hand, thumb and foot. The treatment aims to obtain a functional thumb, with adequate sensitivity, aesthetic, acceptable range of motion press function, residual pain free, with adequate bone support and skin coverage.


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