Osteoplastic Reconstruction of the Thumb. Technique and Results With More Than 6 Years of Follow-Up
DOI:
https://doi.org/10.15417/issn.1852-7434.2025.90.6.2030Keywords:
Thumb reconstruction, traumatic amputation, inguinoabdominal flap, iliac crest graftAbstract
The thumb accounts for 40% of hand function, and its loss requires reimplantation or reconstruction. Although reimplantation is the ideal treatment, alternative options are necessary when it fails. Osteoplastic reconstruction constitutes a less complex and less invasive option. We present the case of a 58-year-old man who underwent osteoplastic thumb reconstruction following a failed re-implantation after a metacarpophalangeal (MCP) amputation. The surgical technique, clinical outcomes, and radiological findings after more than 6 years of follow-up are described.
Conclusions: Osteoplastic reconstruction using an iliac crest graft and an inguinoabdominal flap is a safe and effective option for thumb reconstruction after failed MCP-level amputations. It provides good functional outcomes and is reproducible in settings without access to more complex reconstructive techniques.
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References
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