Thumb reconstruction by the wrap-around method.
Journal Article (Journal Article)
Reconstruction of a thumb amputated distal to the metacarpophalangeal joint can be accomplished by the "wrap-around" procedure. The operative procedure calls for an iliac crest graft to replace the bone of the amputated thumb. A flap from the great toe with innervation and circulation intact, including the toenail as well as sensory nerve, is wrapped around an iliac crest graft in a single-stage reconstruction of the thumb. This procedure allows a nice aesthetic result; the nail is transferred, sensibility is restored to the amputated thumb through the transferred neurovascularly intact flap, and the procedure is done at a single sitting. Results to date have been excellent in ten patients.
Full Text
Duke Authors
Cited Authors
- Nunley, JA; Goldner, RD; Urbaniak, JR
Published Date
- May 1, 1985
Published In
Start / End Page
- 97 - 103
PubMed ID
- 3884213
International Standard Serial Number (ISSN)
- 0009-921X
Language
- eng
Conference Location
- United States