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Reconstruction of the traumatic loss of the thumb using the great toe

Year 2000, Volume: 34 Issue: 4, 419 - 421, 11.09.2006

Hayati Durmaz Mehmet Onen

Abstract

Since the thumb serves 40-50% of all hand functions, its absence due to traumatic or congenital reasons requires reconstruction. The aim of reimplantation using microsurgery is to obtain functional adequacy, stability, sensitivity, mobility, and motor control. Despite various techniques of implantation, transport of the great toe to the thumb by microsurgery is the method of choice. A forty-one-year-old male patient with traumatic thumb amputation underwent microsurgical reconstruction using the distal portion of the great toe on the same side. The great toe was reduced in size before reconstruction and the remaining skin flap used to repair the toe defect. After a follow-up of three years, albeit quite limited innervation, the patient was satisfied with the sensitivity achieved and he was back to his previous employment.

Keywords

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Travmatik el başparmak yokluğunun ayak başparmağı ile rekonstrüksiyonu: Olgu sunumu

Year 2000, Volume: 34 Issue: 4, 419 - 421, 11.09.2006

Hayati Durmaz Mehmet Onen

Abstract

El başparmağı normal el fonksiyonlarının yaklaşık %40-50’sini oluşturur ve yokluğu ciddi fonksiyonel yetersizliğe neden olduğundan rekonstrükte edilmesi gerekir. Mikrocerrahi tekniklerle başparmak veya diğer parmakların reimplantasyonunda fonksiyonel yeterlilik, stabilite, duyarlılık, mobilite ve motor kontrol hedeflenir. Mikrocerrahi yöntemle ayak başparmağının nakli günümüzde en seçkin yöntemdir. Kırk bir yaşındaki erkek hastada travmatik amputasyon sonucu kaybedilen başparmağı, aynı taraf ayak başparmağının distalini kullanarak mikrocerrahi teknikle rekonstrükte ettik. Başparmağı incelterek aldık; inceltme nedeniyle çıkan deri flebi ayak başparmağı güdüğünü kapatmada kullanıldı. Üç yıllık takip sonrasında çok iyi sayılamayacak innervasyona rağmen hasta klinik olarak parmağındaki histen memnundu ve eski işine geri dönmüştü.

Keywords

amputation;traumatic;microcirculation;microsurgery/methods;reconstructive surgical procedures/methods;plastic/methods;surgery/methods;thumb/injuries/surgery;toes/blood supply/transplantation

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Details

Primary Language English
Journal Section Case Report
Authors

Hayati Durmaz This is me

Mehmet Onen This is me

Publication Date September 11, 2006
Published in Issue Year 2000 Volume: 34 Issue: 4

Cite

APA Durmaz, H., & Onen, M. (2006). Reconstruction of the traumatic loss of the thumb using the great toe. Acta Orthopaedica Et Traumatologica Turcica, 34(4), 419-421. https://doi.org/10.3944/aott.v34i4.1807
AMA Durmaz H, Onen M. Reconstruction of the traumatic loss of the thumb using the great toe. Acta Orthopaedica et Traumatologica Turcica. September 2006;34(4):419-421. doi:10.3944/aott.v34i4.1807
Chicago Durmaz, Hayati, and Mehmet Onen. “Reconstruction of the Traumatic Loss of the Thumb Using the Great Toe”. Acta Orthopaedica Et Traumatologica Turcica 34, no. 4 (September 2006): 419-21. https://doi.org/10.3944/aott.v34i4.1807.
EndNote Durmaz H, Onen M (September 1, 2006) Reconstruction of the traumatic loss of the thumb using the great toe. Acta Orthopaedica et Traumatologica Turcica 34 4 419–421.
IEEE H. Durmaz and M. Onen, “Reconstruction of the traumatic loss of the thumb using the great toe”, Acta Orthopaedica et Traumatologica Turcica, vol. 34, no. 4, pp. 419–421, 2006, doi: 10.3944/aott.v34i4.1807.
ISNAD Durmaz, Hayati - Onen, Mehmet. “Reconstruction of the Traumatic Loss of the Thumb Using the Great Toe”. Acta Orthopaedica et Traumatologica Turcica 34/4 (September 2006), 419-421. https://doi.org/10.3944/aott.v34i4.1807.
JAMA Durmaz H, Onen M. Reconstruction of the traumatic loss of the thumb using the great toe. Acta Orthopaedica et Traumatologica Turcica. 2006;34:419–421.
MLA Durmaz, Hayati and Mehmet Onen. “Reconstruction of the Traumatic Loss of the Thumb Using the Great Toe”. Acta Orthopaedica Et Traumatologica Turcica, vol. 34, no. 4, 2006, pp. 419-21, doi:10.3944/aott.v34i4.1807.
Vancouver Durmaz H, Onen M. Reconstruction of the traumatic loss of the thumb using the great toe. Acta Orthopaedica et Traumatologica Turcica. 2006;34(4):419-21.