The Report for Amputated Thumb Reconstruction with Amuputated Ring Finger of the Contralateral Hand

Journal of the Korean Society for Surgery of the Hand 2006;15(2):117-122.
Published online October 31, 2006.

Soo-Joong Choi, M.D., Kee-Young Chang, M.D.

절단된 반대측 수부의 환지를 이용한 절단된 무지의 재건술의 증례보고

최수중, 장기영

Abstract

  The function of the thumb is critical to overall hand function. The thumb enables motions such as pinch, grip, fine manipulation and allows to circumduction and opposition. I‘t s loss is a serious problem not only from cosmetic point of view but also functional. Therefore, we should make every effort on thumb reconstruction. Many methods of thumb reconstruction from simple osteoplasty to complex microsurgical reconstruction have been reported. We should understand merits and demerits of each method and choose proper method on case by case. When both hands are injured and there is no option but to amputate one hand and the thumb of another hand is lost, spare part flap from the thumb of the amputated hand to another hand can solve cosmetic problem, functional problem and donor morbidity. We report a case of amputated thumb which has been reconstructed with amputated ring finger of the contralateral hand using spare part flap concept.

Key Words: The function of the thumb, Thumb reconstruction, Spare part free flap