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IMMEDIATE RECONSTRUCTION OF THUMB USING THE AMPUTATED SKELETON WITH TUBED PEDICLE FLAP

SETHURAJA KANNAIAN

Abstract


This study reports four cases of crushavulsion
injury to the thumb at different
levels presented at our Plastic and Reconstructive
surgery Department . All of
the patients were male with injuries to
the thumb with non-replantable amputations.
Distal phalanx or proximal phalanx,
or both, were used as a free cortical
bone graft. The amputated part was
skeletonized without the periosteum attached
to the cortical bone of the phalanx
fixing it to the stump and covering it by
tubed pedicle flap and neurovascular island
sensate flap. The results were functionally
and cosmetically good .


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