Beauty and Function: The Use of Trimmed Great Toe in Thumb and Finger Reconstruction.


Journal

Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 28 04 2022
accepted: 29 07 2022
entrez: 7 10 2022
pubmed: 8 10 2022
medline: 8 10 2022
Statut: epublish

Résumé

Finger amputations are one of the most common traumas of daily life. Regularization of the digital stump is the most widely used option in the literature today. The aim of this study was to evaluate a valid functional and aesthetic alternative to amputation. We retrospectively investigated our prospective database' selecting the patients who underwent trimmed great toe flap reconstruction for the amputation of a digit from September 2019 to November 2021. All the operations were performed by the first author (L.T.) in the Reconstructive Microsurgery Service of the University Department of Hand Surgery and Rehabilitation of MultiMedica Group. No flap required anastomosis revision or had major complications. The length of the amputated finger was maintained, with a high functional and aesthetic result achieved. The trimmed great toe flap has proven to be a viable alternative to finger amputation in the reconstruction of thumb and long finger defects, leading to high aesthetic results. The morbidity of the donor site is reduced compared with the classic great toe flap, allowing a direct closure in most cases.

Identifiants

pubmed: 36203737
doi: 10.1097/GOX.0000000000004540
pmc: PMC9529065
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e4540

Informations de copyright

Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

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Auteurs

Luigi Troisi (L)

Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy.
School of Specialization in Plastic, Reconstructive and Aesthetic Surgery, Milan University, Milan, Italy.

Luca Mazzocconi (L)

School of Specialization in Plastic, Reconstructive and Aesthetic Surgery, Milan University, Milan, Italy.

Alessandro Mastroiacovo (A)

School of Specialization in Plastic, Reconstructive and Aesthetic Surgery, Milan University, Milan, Italy.

Macarena Vizcay (M)

Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy.
School of Specialization in Plastic, Reconstructive and Aesthetic Surgery, Milan University, Milan, Italy.

Francesco Zanchetta (F)

Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy.

Sara Stucchi (S)

School of Specialization in Plastic, Reconstructive and Aesthetic Surgery, Milan University, Milan, Italy.

Giorgio Eugenio Pajardi (GE)

Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy.
School of Specialization in Plastic, Reconstructive and Aesthetic Surgery, Milan University, Milan, Italy.

Classifications MeSH