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Primary use of the index finger for reconstruction of amputated thumbs

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Presentation on theme: "Primary use of the index finger for reconstruction of amputated thumbs"— Presentation transcript:

1 Primary use of the index finger for reconstruction of amputated thumbs
S Raja Sabapathy, Sandeep J Sebastin, H Venkatramani, G Balaji  British Journal of Plastic Surgery  Volume 57, Issue 1, Pages (January 2004) DOI: /j.bjps

2 Fig. 1 Three situations for primary use of index finger for thumb reconstruction. British Journal of Plastic Surgery  , 50-60DOI: ( /j.bjps )

3 Fig. 2 Case 3. (A) Amputation of thumb and index with the incision for pollicisation. (B) Radiograph showing the bony level of amputation. (C) Index stump ready for transposition being attached only by the pedicle and the flexor tendon. (D) Radiograph at 4 years showing good bony union. (E) Result at 4 years showing good function. (F) Result at 4 years showing an adequate first web. British Journal of Plastic Surgery  , 50-60DOI: ( /j.bjps )

4 Fig. 2 Case 3. (A) Amputation of thumb and index with the incision for pollicisation. (B) Radiograph showing the bony level of amputation. (C) Index stump ready for transposition being attached only by the pedicle and the flexor tendon. (D) Radiograph at 4 years showing good bony union. (E) Result at 4 years showing good function. (F) Result at 4 years showing an adequate first web. British Journal of Plastic Surgery  , 50-60DOI: ( /j.bjps )

5 Fig. 3 Case 6. (A) Avulsion amputation of the right thumb beyond the CMC joint with raw area on the radial border of the hand. (B) Retrieved amputated bits unsuitable for replantation. (C) Radiograph showing the bony level of amputation proximal to CMC joint. The amputated parts are seen in the upper right corner. (D) The index finger mobilised and ready for pollicisation. (E) The available skin flaps are utilised to cover the vital areas and the remaining raw areas are graftable. (F) Result at 4 years showing stable CMC joint. (G) Result at 4 years showing good cosmesis. (H) Patient has good grasp. (I) Patient has good pinch. British Journal of Plastic Surgery  , 50-60DOI: ( /j.bjps )

6 Fig. 3 Case 6. (A) Avulsion amputation of the right thumb beyond the CMC joint with raw area on the radial border of the hand. (B) Retrieved amputated bits unsuitable for replantation. (C) Radiograph showing the bony level of amputation proximal to CMC joint. The amputated parts are seen in the upper right corner. (D) The index finger mobilised and ready for pollicisation. (E) The available skin flaps are utilised to cover the vital areas and the remaining raw areas are graftable. (F) Result at 4 years showing stable CMC joint. (G) Result at 4 years showing good cosmesis. (H) Patient has good grasp. (I) Patient has good pinch. British Journal of Plastic Surgery  , 50-60DOI: ( /j.bjps )

7 Fig. 3 Case 6. (A) Avulsion amputation of the right thumb beyond the CMC joint with raw area on the radial border of the hand. (B) Retrieved amputated bits unsuitable for replantation. (C) Radiograph showing the bony level of amputation proximal to CMC joint. The amputated parts are seen in the upper right corner. (D) The index finger mobilised and ready for pollicisation. (E) The available skin flaps are utilised to cover the vital areas and the remaining raw areas are graftable. (F) Result at 4 years showing stable CMC joint. (G) Result at 4 years showing good cosmesis. (H) Patient has good grasp. (I) Patient has good pinch. British Journal of Plastic Surgery  , 50-60DOI: ( /j.bjps )

8 Fig. 4 Case 7. (A) Amputation of the thumb, index and middle finger. (B) Available amputated parts. (C) Radiograph showing the bony level of injury. (D) Result at 19 months. (E) Radiograph showing good bony union. (F) Excellent return of precision grip. British Journal of Plastic Surgery  , 50-60DOI: ( /j.bjps )

9 Fig. 4 Case 7. (A) Amputation of the thumb, index and middle finger. (B) Available amputated parts. (C) Radiograph showing the bony level of injury. (D) Result at 19 months. (E) Radiograph showing good bony union. (F) Excellent return of precision grip. British Journal of Plastic Surgery  , 50-60DOI: ( /j.bjps )


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