After functional tissue loss of the thumb, reconstructive goals are to restore protective sensation and opposition to the thumb. Thumb defects are easily classified by degree of soft tissue and length changes of the thumb to determine reasonable surgical options for the patient. For the best functional outcome, patient comorbidities, occupational goals, and acceptable procedural morbidity must be discussed prior to surgery. Surgical options for thumb reconstruction range in complexity from local tissue rearrangement to free tissue transfers.

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Thumb Reconstruction

  • Udayan Betarbet

摘要

After functional tissue loss of the thumb, reconstructive goals are to restore protective sensation and opposition to the thumb. Thumb defects are easily classified by degree of soft tissue and length changes of the thumb to determine reasonable surgical options for the patient. For the best functional outcome, patient comorbidities, occupational goals, and acceptable procedural morbidity must be discussed prior to surgery. Surgical options for thumb reconstruction range in complexity from local tissue rearrangement to free tissue transfers.