Onycho-Osteo-Cutaneous Defects of the Thumb Reconstructed by Partial Hallux Transfer

Piñal, Francisco del; Moraleda, Eduardo; Piero, Guillermo H. de; Rúas, Jaime S.; Galindo, Carlos

doi:10.1016/j.jhsa.2013.10.018

Cited by 18 publications

(4 citation statements)

References 17 publications

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“…Even though the pedicle is short, there is no specific problem in vessel anastomosis. No large scars are left on the hands or feet [8,9]. This leads to cosmetic improvements and avoids prolonged surgical times.…”

Section: Discussionmentioning

confidence: 99%

Various Free Flap Reconstruction Techniques after Hand and Foot Melanonychia Ablation: A Case Series

Lee,

Eun

2024

JCM

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(1) Purpose: The management of melanonychia is highly controversial. With growing melanonychia, in case of doubt, the entire lesion should be examined. It may appear similar to nail melanoma or may turn into melanoma. Here, we present surgical cases of nail bed total removal and free flap reconstruction. (2) Methods: Between 1 January 2020 and 31 December 2022, eleven patients were operated on for growing melanonychia, involving the hand and foot. After complete resection of the nail root and plate, immediate reconstruction was performed using a fasciocutaneous free flap. The authors describe the procedures in detail with a few illustrations and clinical photographs depicting the techniques. (3) Results: All patients underwent complete nail unit removal around the anatomic boundaries of the nail. Histology showed a nevus and no malignancy in all cases. We used three onychocutaneous flaps, three hypothenar flaps and five venous flaps. All flaps survived, with one case of partial necrosis which spontaneously healed with secondary intention. In the follow-up periods, there was no recurrence or nail regrowth. (4) Conclusions: These free flap techniques are very useful for total nail bed defect reconstruction after melanonychia lesion total ablation.

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Section: Discussionmentioning

confidence: 99%

Various Free Flap Reconstruction Techniques after Hand and Foot Melanonychia Ablation: A Case Series

Lee,

Eun

2024

JCM

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“…The flap is safe and effective in many respects but has problems and limitations. The most significant drawback derives from the fact that this is a sensitive flap with innervation for the middle finger, and hoping for cortical reorientation often ends in disappointment [32][33][34][35] . Therefore, if there are nerves available, to avoid cortical disorientation, it is preferable to connect the recipient thumb ulnar nerve and the nerve of the flap [32,33] .…”

Section: Heterodigital Island Flap (Littler Flap)mentioning

confidence: 99%

Management of soft tissue defects of the thumb

Hove¹,

Piñal²

2023

Plast Aesthet Res

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Hand surgery has undergone substantial changes in recent years, especially for reconstructive surgery techniques. We discuss the management of soft tissue defects of the thumb, discussing indications, and operative pearls and pitfalls. We cover non-operative treatment and local advancement flaps for small distal soft tissue defects and pedicled flaps for more significant defects. We also discuss composite vascularized free flaps such as second-toe neurocutaneous flaps and partial hallux transfer for compound defects or total amputations. This article aims to provide hand surgeons with an update on reconstructing an injured thumb.

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“…3. Many techniques for distal thumb reconstruction have been purposed and are often a very similar one to the others (Adani et al 1999;Del Piñal et al 2014;Woo and Seul 1998). These techniques share a reconstruction always performed using a custom-made osteoonycho-cutaneous flap.…”

Section: Alternative Reconstructive Optionsmentioning

confidence: 99%

Complex Thumb Reconstruction Using Free Chain-Linked “Mini Wraparound” Great Toe and Dorsalis Pedis Flaps

Adani¹,

Petrella²

2020

Clinical Scenarios in Reconstructive Microsurgery

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Onycho-Osteo-Cutaneous Defects of the Thumb Reconstructed by Partial Hallux Transfer

Cited by 18 publications

References 17 publications

Various Free Flap Reconstruction Techniques after Hand and Foot Melanonychia Ablation: A Case Series

Various Free Flap Reconstruction Techniques after Hand and Foot Melanonychia Ablation: A Case Series

Management of soft tissue defects of the thumb

Complex Thumb Reconstruction Using Free Chain-Linked “Mini Wraparound” Great Toe and Dorsalis Pedis Flaps

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