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The primary goal of thumb reconstruction is to restore the shape of the finger pulp with good sensibility The reconstructed thumb should have a good range of motion and stable joints The desirable flaps for the coverage of soft tissue defects of the thumb are thin pliable and extensible The flaps should also have good sensibility
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Horta et al retrospectively reviewed 107 cases of thumb reconstruction in emergency situations using Moberg radial innervated cross finger Venkataswami Subramanian Foucher Tezcan and
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Vascular patency of the traumatized index finger and thumb was evaluated in each patient prior to thumb reconstruction Results After an average of 4 years of follow up for surviving patients all had excellent postoperative function and satisfactory results The period between injury and thumb reconstruction ranged from 5 months to 4 years
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Thumb Reconstruction Sections Products and services There is a problem with information submitted for this request Review/update the information highlighted below and resubmit the form From Mayo Clinic to your inbox Sign up for free and stay up to date on research advancements health tips and current health topics like COVID 19 plus
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Sep 16 2022A Case of Thumb Reconstruction Death from accidental shotgun discharges is fortunately uncommon in England and Wales email info call 07494 250277 follow us Home About Us About Us About your Surgeon Our Clinics Case Studies Breast Cancer Case Study Surgery Face
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Thumb reconstruction aims to restore the cardinal thumb traits and actions including mobility stability sensibility length and appearance The level of thumb loss is divided into thirds distal tip to interphalangeal [IP] joint middle IP joint to metacarpal neck and proximal metacarpal neck to carpometacarpal joint
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Ligament Reconstruction This procedure stabilizes the carpometacarpal joint CMC joint by removing a portion of the damaged ligament and replacing it with a piece of the patient s wrist flexor tendon The transposed tendon reconnects and restores mechanical function of the thumb with the rest of the hand Thumb Surgery Cost
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summary Polydactyly of Hand is a congenital malformation of the hand that presents with an extra digit in the hand Diagnosis is made clinically Treatment is usually a form of surgical reconstruction depending on the level of duplication and the specific digit involved
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Thumb Hypoplasia is the congenital underdevelopment of the thumb frequently associated with partial or complete absence of the radius Diagnosis is made clinically with hypoplasia of the thumb and thenar musculature Radiographs are helpful in determining musculotendinous versus osseous deficiencies
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The move affects 30 000 employees or about 5 percent of Wal Mart s total part time workforce but comes after the company already had scaled back the number of part time workers who were eligible
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since the thumb accounts for 35 to 45 % of total hand functionality thumb reconstruction is critical to achieving functional results in cases of traumatic amputations 1 the
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Case reports thumb reconstruction using amputated fingers All patients sustained injury during manual labor caused by a power saw three patients iron press one patient machine press one patient or drill one patient All patients were men whose ages ranged from 18 to 42 years The left hand was affected in four patients whereas
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Iliac autograft was fixed to residual thumb stump and covered with flap produce by expanded skin and soft tissue Postoperative rehabilitation was carried out Results After 3 24 months follow up all reconstructed thumbs were with good sensation appearance and durable Two point discrimination was less than 5 mm
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draw in one grey flat and then shade colour that with locked opacity draw in greyscale and then use an overlay layer to colour and afterwards fix the colours with balancing and a normal colour layer draw in flat colours and then shade with several layer types mostly multiply/luminosity or dodge/overlay to achieve shades
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Injuries to the ulnar collateral ligament UCL of the thumb are common and require prompt attention Diagnostic findings and treatment options differ in acute and chronic injuries of the UCL Ulnar Collateral Ligament Reconstruction of Thumb Metacarpophalangeal Joint With Adductor Pollicis Tendon Using the Wide Awake Approach J Hand Surg
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Fig 3 A Thumb with healed amputation at IP joint level B External distractor in place on thumb C Radiograph of thumb at initiation of distraction D Radiograph of completed distraction E Bone graft placement into metacarpal defect created by distraction F Bone graft in place G Radiograph showing consolidation of bone graft H Thumb demonstrating good grip function after
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Introduction Reconstruction of the thumb requires an intact carpometarcarpal joint that not only is stable but is appropriately functional Treatment Toe to thumb procedure great toe receives blood supply from the first dorsal metatarsal artery and dorsalis pedis The Morrison/wrap around flap allow for maintenance of length of the hallux
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This study reports five cases of crush avulsion injury to the thumb at different levels presented at our plastic and hand surgery unit between 2024 and 2024 All of the patients were male labors with machine 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 keeping
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The defect was caused by crush injury of machine in 6 cases and hot crush injury in 2 cases 5 cases of grade V and 3 cases of grade VI The expander was placed under the tenor skin and soft tissue And then normal saline was infused to expand the skin and soft tissue gradually till it was available for thumb reconstruction Iliac autograft
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ls and equipment which are not readily available at all institutions This case series illustrates our technique for immediate osteoplastic thumb reconstruction following traumatic amputation Methods This is a case series involving all patients who sustained unreplantable thumb amputations and underwent immediate osteoplastic thumb reconstruction with bone autograft and pedicled groin flap
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Case 1 Thumb reconstruction with great toe transfer A 25 year old male sustained a traumatic amputation of his left thumb at the base of the first phalanx while working on a farm Figure The level of amputation represented an ideal indication for the transfer of the great toe in order torestore an efficient pinch and grip strength
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An ideal reconstruction of the thumb would replace like with like restoring both function and appearance Replantation has demonstrated great success in that it restores the actual lost thumb and often yields excellent functional outcomes When replantation is not possible or fails the surgeon must re create the likeness of the thumb
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In focal pulp loss of the thumb the twin neurovascular island flaps suggested by Chen and Noordhoff could be an easy and efficient method to reconstruct soft tissue coverage and sensibility when microsurgical setting and abilities are not available Introduction Injuries of the thumb can result in severe functional deficit in hand function
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Thumb reconstruction was done using distally based radial forearm osteocutaneous flap in 7 patients and two staged reconstruction by groin flap with iliac crest bone graft in 6 patients Postoperatively results were assessed in terms of range of motion hand grip functional recovery donor site morbidity and patient satisfaction
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The lengths of the reconstructed thumbs are 34 49 mm The widths of the thumb nail beds are 16 19 mm and the thickness of the digital pulp is 16 20 mm The thumb opposition function was cm the extension angle was 5° 20° mean 16° and the angle of flexion was 38° 55° mean 47° Two‐point discrimination was 9 11 mm mean mm
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David Tuckman video shows the reconstruction of the ulnar collateral ligament augmented with an internal brace The addition of the internal brace
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Reconstruction is the procedure of choice for types I II and IIIA hypoplastic thumbs with stable carpometacarpal CMC joints Controversies • The timing of pollicization remains controversial with a trend toward early surgery 6 months to 1 year of age
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May 20 2022On September 2 2024 we admitted a case of thumb interphalangeal joint IPJ reconstruction using the proximal IPJ of the 2nd toe combined with a double layer of artificial dermal after a severe crush injury to the IPJ of the right thumb with good results which are reported below The patient provided informed consent for publication of the case
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V Y Modification of the Moberg Flap
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Dr Robert Unsell is an expert in the treatment and surgical reconstruction of the thumb joint Utilizing advanced surgical techniques including unique fixation hardware Dr Unsell and his team can provide relief to the pain swelling and debilitating effects of an arthritic thumb joint
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