Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter ISSN: 1584 - 9341
Vol.10 Nr.3 - Iulie-Septembrie 2014 | miercuri, 20 ianuarie 2021
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
English| Romana
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NONMICROSURGICAL RECONSTRUCTION OF AMPUTATED THUMB USING COMBINED TECHNIQUES. CASE REPORT Mihaela Pertea (1,2), S. Lunca (2,3), I. Topa (1) (1) Clinica de Chirurgie Plastica si Microchirurgie Reconstructiva, Spitalul Clinic Judetean de Urgente „Sf. Spiridon” Iasi (2) Departamentul de chirurgie, Universitatea de Medicina si Farmacie „Gr.T. Popa” Iasi (3) Clinica II Chirurgie, Institutul Regional Oncologic, Iasi Jurnalul de chirurgie (Iaşi). 2013; 9(1): 77-83. Full text: Format PDF (Română/Romanian)
Abstract:
Complex injuries of the hand and fingers are among the most frequent trauma encountered. There are many microsurgical and nonmicrosurgical techniques described to reconstruct such complex injuries. We present the case of a 55 year old male patient with a complete amputation of the thumb, at the level of interphalangeal joint through a pull mechanism. Microsurgical replantation was not possible due to local conditions caused by avulsion. The patient agreed to use only local reserves to rebuild the hand amputated thumb. We employed a nonmicrosurgical Mantero-Bertolotti technique, combined not with the usual O’Brien neurovascular flap but with a neurovascular heterodigital Littler flap. One year postoperatively very good esthetic and functional outcomes where recorded, as confirmed by both clinical and laboratory specific tests.
HOW TO CITE: Pertea M, Lunca S, Topa I. [Nonmicrosurgical reconstruction of amputated thumb using combined techniques. Case report]. Jurnalul de chirurgie (Iasi). 2013; 9(1): 77-83. DOI: 10.7438/1584-9341-9-1-10.