El Younssi, M., Kamal, A., Abdelrahim, M., Elsonbaty, M. (2018). Evaluation of Different Modalities for Partial Thumb Reconstruction. The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), 103-110. doi: 10.21608/ejprs.2018.215072
M M El Younssi; Ahmed Kamal; Mohamed Abdelrahim; Mostafa A Elsonbaty. "Evaluation of Different Modalities for Partial Thumb Reconstruction". The Egyptian Journal of Plastic and Reconstructive Surgery, 42, 1, 2018, 103-110. doi: 10.21608/ejprs.2018.215072
El Younssi, M., Kamal, A., Abdelrahim, M., Elsonbaty, M. (2018). 'Evaluation of Different Modalities for Partial Thumb Reconstruction', The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), pp. 103-110. doi: 10.21608/ejprs.2018.215072
El Younssi, M., Kamal, A., Abdelrahim, M., Elsonbaty, M. Evaluation of Different Modalities for Partial Thumb Reconstruction. The Egyptian Journal of Plastic and Reconstructive Surgery, 2018; 42(1): 103-110. doi: 10.21608/ejprs.2018.215072
Evaluation of Different Modalities for Partial Thumb Reconstruction
The Department of Plastic Surgery, Faculty of Medicine, Assiut University
Abstract
The thumb considers a part of interesting significance for hand work. Basically, it is a solitary unit that is adjusted against every one of the four fingers. The commitment of the thumb to get a good grasping is not reliant on great skin sensibility, in spite of the fact that sensibility must be closing typical for small object controls [1]. The essential supporter of the flexibility of the human hand is the opposable thumb, which is basic for the compelling taking care of and investigation of fine objects. The broad territory of contact between the finger pads of the thumb and index finger is a particularly human trademark [2]. The hand, as the human organ, is in the focal point of day by day life exercises in callings and games. In this exceptional position, the hand is constantly presented to wounds and abuse [3]. The thumb has a part in roughly 40% of hand capacity; traumatic loss in this manner brings about significant disability [4]. Traumatic loss of a thumb brings about useful weakness. Numerous reconstructive modalities have been depicted to address these losses. Any technique is of advantage, compared with nothing. However, each of the techniques offers advantages and drawbacks and might be more suitable in certain circumstance [5]. A perfect reconstructed thumb would have satisfactory length, a sensate, non-tender tip, have security and be situated to meet alternate digits, with a sufficient first web space [5]. Aim of the work: Our objectives in this study are: • Formulating a strategic approach for distal thumb reconstruction
• Study of different modalities of distal thumb reconstruction and evaluation of each modality regarding its sensation, stability, length, mobility, Position, and pain-free function.
Robert W. Beasley: Tendon transfer, thumb reconstruction & sensory island flaps, Beasley's surgery of the hand, (19, 20) 319: 369, 2003. 2- Lemon R.N.: Neuralcontrolof dexterity: What has been achieved? Experimental Brain Research, 128: 6-12, 1999. 3- Voiget C.: Tendon injuries of the hand. Chirurg, 73: 744- 64, 2002. 4- Parvizi D., Koch H. and Friedl H.: Analysis of functional outcome after posttraumatic thumb reconstruction in comparison to non reconstructed amputated thumbs at the proximal phalanx of the thumb ray: A mid-term followup with special attention to the Manchester-modified M2 DASH questionnaire and effect size of Cohen’s d. J. Trauma, 72 (2): 33-40, 2012. 5- Graham D.J., H. Venkatramani and S.R. Sabapathy: Current Reconstruction Options for Traumatic Thumb Loss. J. Hand Surg. Am., 41 (12): 1159-1169, 2016. 6- Sabapathy S.R., Venkatramani H. and Bharathi R.R.: Functional evaluation of a great toe transfer and the osteoplastic technique for thumb reconstruction in the same individual. J. Hand Surg. Br., 28 (5): 405-408, 2003. 7- Sabapathy S.R., Venkatramani H. and Bhardwaj P.: Reconstruction of the thumb amputation at the carpometacarpal joint level by groin flap and second toe transfer. Injury, 44: 370-5, 2013. 8- Muyldermans T. and Hierner R.: First dorsal metacarpal artery flap for thumb reconstruction: A retrospective clinical study. Strategies Trauma Limb Reconstr., 4: 27- 33, 2009. 9- Jung G.J., Kim J.S., Lee D.C., Roh S.Y. and Yang J.W.: Comparison between Moberg flap and second toe pulp free flap for coverage of tip amputation of thumb. J. Korean Soc. Plast. Recontr. Surg., 35 (5): 527-532, 2008
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