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Thumb reconstruction with a double flap after thumb replantation failure using a reverse homodigital dorsoulnar flap and a cross-finger flap

Authors
 Min Jun Yong  ;  Young Woong Mo  ;  Hea Kyeong Shin 
Citation
 Archives of Hand and Microsurgery, : epub., 2022-08 
Journal Title
Archives of Hand and Microsurgery
ISSN
 2586-3290 
Issue Date
2022-08
Keywords
Amputation ; Replantation ; Surgical flaps ; Thumb
Abstract
After replantation and salvage procedures have failed in a heavy smoker, surgeons are hesitant to consider future strategies. We introduce a case in which the length and function of the right thumb were preserved as much as possible by double flap surgery after replantation failure. The thumb of a 55-year-old man without underlying disease was amputated by an electrical chainsaw at work. He presented at the emergency room of our hospital, and emergency surgery was performed for exploration and stump replantation. Unfortunately, the replantation surgery failed, and the distal stump was necrotized. Thus, double flap surgery was planned after replantation failure, and thumb reconstruction was performed using a reverse homodigital dorsoulnar flap and a cross-finger flap. A portion of the flap later had to be revised, but the functional and aesthetic results obtained were far better than expected for a simple stump revision procedure.
Files in This Item:
T999202217.pdf Download
DOI
10.12790/ahm.22.0002
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Prosthodontics (보철과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jong Eun(김종은) ORCID logo https://orcid.org/0000-0002-7834-2524
Mo, Young Woong(모영웅) ORCID logo https://orcid.org/0000-0002-4180-3139
Shim, June Sung(심준성) ORCID logo https://orcid.org/0000-0003-1428-0122
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/189893
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