Skip to main content
SpringerLink
Log in

Non-microsurgical Reconstruction

  • Chapter
  • First Online:
The Thumb

  • 768 Accesses

Abstract

The thumb is a very important part that is responsible about 40% of the functionality of the hand. The surgeon should be considered important aims for thumb reconstruction: (1) the appropriate length of the thumb, (2) stability, (3) the proper position for opposition, (4) the sense, (5) proper mobility and strength. Recently, with advance in microsurgical procedure, various microsurgical method of the thumb reconstruction, which is considered as the first choice for the thumb reconstruction has shown excellent results. However, if there are improper conditions such as, the patient’s age and poor vascular condition, improper microsurgical instruments with a microscope, and a microsurgical non-trained surgeon, because it is very are difficult to perform the microsurgical thumb reconstruction, hand surgeons have to know and get used to. Without microsurgical reconstruction technique, the surgeon should consider there are many methods and many factors to reconstruct the thumb, according to the remaining length of the thumb, function of the thenar muscle, carpometacarpal joint function, and others.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Del Piñal F, Pennazzato D, Urrutia E. Primary thumb reconstruction in a mutilated hand. Hand Clin. 2016;32(4):519–31.

    Article  Google Scholar 

  2. Littler JW. Finger pollicization for traumatic loss. In: McCarthy J, editor. Plastic surgery: the hand, vol. 8. Philadelphia: Saunders; 1990. p. 5135–52.

    Google Scholar 

  3. Vedder NB, Friedrich JB. Thumb reconstruction: nonmicrosurgical techniques. In: Chang J, Neligan PC, editors. Plastic surgery, vol. 6. 3rd ed. Amsterdam: Elsevier; 2013. p. 282–94.

    Google Scholar 

  4. Wei FC, El-Gammal TA, Lin CH, Chuang CC, Chen HC, Chen SH. Metacarpal hand: classification and guidelines for microsurgical reconstruction with toe transplants. Plast Reconstr Surg. 1997;99:122–8.

    Article  CAS  Google Scholar 

  5. Michon J, Merle M, Bouchon Y, Foucher G. Functional comparison between pollicization and toe-to-hand transfer for thumb reconstruction. J Reconstr Microsurg. 1984;1(2):103–10.

    Article  CAS  Google Scholar 

  6. Lister G. The choice of procedure following thumb amputation. Clin Orthop Relat Res. 1985;195:45–51.

    Google Scholar 

  7. Campbell-Reid DA, McGrouther DA. Pollicization. In: Campbell-Reid DA, McGrouther DA, editors. Surgery of the thumb. London: Butterworths; 1986. p. 92–105.

    Google Scholar 

  8. Muzaffar AR, Chao JJ, Friedrich JB. Posttraumatic thumb reconstruction. Plast Reconstr Surg. 2005;116:103–22.

    Article  Google Scholar 

  9. Lazar A, Abimelec P, Dumontier C. Full thickness skin graft for nail unit reconstruction. J Hand Surg Br. 2005;30(2):194–8.

    Article  CAS  Google Scholar 

  10. Foucher G, Braun JB. A new island flap transfer from the dorsum of the index to the thumb. Plast Reconstr Surg. 1979;63:344–9.

    Article  CAS  Google Scholar 

  11. Muyldermans T, Hielmer R. First dorsal metacarpal artery flap for thumb reconstruction; a retrospective clinical study. Strategies Trauma Limb Reconstr. 2009;4(1):27–33.

    Article  Google Scholar 

  12. El-Khatib HA. Clinical experiences with extended first dorsal metacarpal artery island flap for thumb reconstruction. J Hand Surg [Am]. 1998;23:647–52.

    Article  CAS  Google Scholar 

  13. Segu SS, Athavale SN, Maniunath P. Osteoplastic reconstruction for post traumatic thumb amputations around metacarpophalangeal joint. J Clin Diagn Res. 2015;9(8):11–3.

    Google Scholar 

  14. Matev IB. Thumb reconstruction through metacarpal bone lengthening. J Hand Surg [Am]. 1980;5(5):482–7.

    Article  CAS  Google Scholar 

  15. Littler JW. Neurovascular skin island transfer in reconstructive hand surgery. Edinburgh: E&S Livingstone; 1960.

    Google Scholar 

  16. Bravo CJ, Horton T, Moran SL, Shin AY. Traumatized index finger pollicization for thumb reconstruction. J Hand Surg [Am]. 2008;33:257–62.

    Article  Google Scholar 

  17. Pet MA, Ko JH, Vedder NB. Reconstruction of the traumatized thumb. Plast Reconstr Surg. 2014;134:1235–45.

    Article  CAS  Google Scholar 

  18. Ozer K. Pollicization of the second metacarpal based on dorsal metacarpal arteries. J Hand Surg [Am]. 2016;41(9):317–21.

    Article  Google Scholar 

  19. Friedrich JB, Vedder NB. Thumb Reconstruction. Clin Plast Surg. 2011;38:697–712.

    Article  Google Scholar 

  20. Zimmerman R, Sailer R, Pechlaner S, Gabl M. Functional outcome with special attention to the DASH questionnaire following callus distraction and phalangization of the thumb after traumatic amputation in the middle one third. Arch Orthop Trauma Surg. 2003;123(10):521–6.

    Article  Google Scholar 

  21. Amir H, Taghinia AH, Upton J. Index finger pollicization. J Hand Surg [Am]. 2011;36:333–9.

    Article  Google Scholar 

  22. Graham D, Bhardwaj P, Sabapathy SR. Secondary thumb reconstruction in a mutilated hand. Hand Clin. 2016;32(4):533–47.

    Article  Google Scholar 

  23. Brunelli G, Brunelli G. Reconstruction of traumatic absence of the thumb in the adult by pollicization. Hand Clin. 1992;8(1):41–5.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Inha University Hospital, Incheon, South Korea

    Sae Hwi Ki

Authors
  1. Sae Hwi Ki
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. W Institute for Hand and Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, W Hospital, Daegu, Korea (Republic of)

    Sang Hyun Woo

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ki, S.H. (2019). Non-microsurgical Reconstruction. In: Woo, S. (eds) The Thumb. Springer, Singapore. https://doi.org/10.1007/978-981-10-4400-7_20

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-4400-7_20

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-4399-4

  • Online ISBN: 978-981-10-4400-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation