Thumb Reconstruction after Severe Trauma Using the Masquelet Technique and the Foucher Neurovascular Flap
Summary:. Complex injuries of fingers with bone and soft tissue loss often result in amputation. We present here a case of thumb reconstruction in a severely injured thumb with bone and dorsal soft tissue loss. Primarily a radical debridement of devascularized tissue was performed and a spacer was i...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2020-09-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003097 |
| _version_ | 1818340998519980032 |
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| author | Martin Luttenberger, MD Feras Taqatqeh, MD Adrian Dragu, MD Olimpiu Bota, MD |
| author_facet | Martin Luttenberger, MD Feras Taqatqeh, MD Adrian Dragu, MD Olimpiu Bota, MD |
| author_sort | Martin Luttenberger, MD |
| collection | DOAJ |
| description | Summary:. Complex injuries of fingers with bone and soft tissue loss often result in amputation. We present here a case of thumb reconstruction in a severely injured thumb with bone and dorsal soft tissue loss. Primarily a radical debridement of devascularized tissue was performed and a spacer was implanted, to ensure tissue decontamination and induce a Masquelet’s bone membrane. After 6 weeks the spacer was replaced with autologous cancellous bone and a pedicled Foucher neurovascular flap was used to augment the soft tissues. Eight months postoperatively the patient showed a great outcome with thumb length preservation, excellent range of motion and aesthetics. This novel technique facilitates finger and especially thumb preservation without the risk of infection. The Masquelet technique can hereby be safely used for reconstruction of finger injuries and the microsurgical flap coverage can be postponed for the secondary procedure, without compromising the bone regeneration. |
| first_indexed | 2024-12-13T15:51:48Z |
| format | Article |
| id | doaj.art-dd8909c1f34f40048e3ba2d29ad0a279 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-13T15:51:48Z |
| publishDate | 2020-09-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-dd8909c1f34f40048e3ba2d29ad0a2792022-12-21T23:39:28ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-09-0189e309710.1097/GOX.0000000000003097202009000-00021Thumb Reconstruction after Severe Trauma Using the Masquelet Technique and the Foucher Neurovascular FlapMartin Luttenberger, MD0Feras Taqatqeh, MD1Adrian Dragu, MD2Olimpiu Bota, MD3From the * University Center of Orthopedics and Trauma Surgery, University Hospital Carl Gustav Carus, Dresden, GermanyFrom the * University Center of Orthopedics and Trauma Surgery, University Hospital Carl Gustav Carus, Dresden, GermanyFrom the * University Center of Orthopedics and Trauma Surgery, University Hospital Carl Gustav Carus, Dresden, GermanyFrom the * University Center of Orthopedics and Trauma Surgery, University Hospital Carl Gustav Carus, Dresden, GermanySummary:. Complex injuries of fingers with bone and soft tissue loss often result in amputation. We present here a case of thumb reconstruction in a severely injured thumb with bone and dorsal soft tissue loss. Primarily a radical debridement of devascularized tissue was performed and a spacer was implanted, to ensure tissue decontamination and induce a Masquelet’s bone membrane. After 6 weeks the spacer was replaced with autologous cancellous bone and a pedicled Foucher neurovascular flap was used to augment the soft tissues. Eight months postoperatively the patient showed a great outcome with thumb length preservation, excellent range of motion and aesthetics. This novel technique facilitates finger and especially thumb preservation without the risk of infection. The Masquelet technique can hereby be safely used for reconstruction of finger injuries and the microsurgical flap coverage can be postponed for the secondary procedure, without compromising the bone regeneration.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003097 |
| spellingShingle | Martin Luttenberger, MD Feras Taqatqeh, MD Adrian Dragu, MD Olimpiu Bota, MD Thumb Reconstruction after Severe Trauma Using the Masquelet Technique and the Foucher Neurovascular Flap Plastic and Reconstructive Surgery, Global Open |
| title | Thumb Reconstruction after Severe Trauma Using the Masquelet Technique and the Foucher Neurovascular Flap |
| title_full | Thumb Reconstruction after Severe Trauma Using the Masquelet Technique and the Foucher Neurovascular Flap |
| title_fullStr | Thumb Reconstruction after Severe Trauma Using the Masquelet Technique and the Foucher Neurovascular Flap |
| title_full_unstemmed | Thumb Reconstruction after Severe Trauma Using the Masquelet Technique and the Foucher Neurovascular Flap |
| title_short | Thumb Reconstruction after Severe Trauma Using the Masquelet Technique and the Foucher Neurovascular Flap |
| title_sort | thumb reconstruction after severe trauma using the masquelet technique and the foucher neurovascular flap |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003097 |
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