Osteoplastic Reconstruction of the Thumb. Technique and Results With More Than 6 Years of Follow-Up

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Nadia Gabotto Loredo
Gonzalo M. Viollaz
Diego J. Gómez
Gustavo J. Teruya
Álvaro J. Muratore
Alejandro Tedeschi
Rafael Durán

Abstract

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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How to Cite
Gabotto Loredo, N., Viollaz, G. M., Gómez, D. J., Teruya, G. J., Muratore, Álvaro J., Tedeschi, A., & Durán, R. (2025). Osteoplastic Reconstruction of the Thumb. Technique and Results With More Than 6 Years of Follow-Up. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 90(6), 570-577. https://doi.org/10.15417/issn.1852-7434.2025.90.6.2030
Section
Case Presentations
Author Biographies

Nadia Gabotto Loredo, Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Gonzalo M. Viollaz, Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Diego J. Gómez, Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Gustavo J. Teruya, Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Álvaro J. Muratore, Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Alejandro Tedeschi, Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Rafael Durán, Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Upper Limb Team, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

References

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3. Moazin OM, Bhat TA, Suraya F, Alelyani RH, Assad M, Alazzmi HA, et al. Spiral wrap-around technique in the reverse radial artery fasciocutaneous forearm flap for thumb reconstruction: A report of an innovative technique. Cureus 2023;15(12):e50999. https://doi.org/10.7759/cureus.50999

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