Reconstruction of the Thumb and Finger / by: Chiu, David T.W., Foucher, Guy, Littler†, J. William, Upton III, Joseph, Wei, Fu-Chan.

Format:

Book

Author/Creator:

Chiu, David T.W., Editor.

Contributor:

Foucher, Guy, Editor.

Littler†, J. William., Editor.

Upton III, Joseph., Editor.

Wei, Fu-Chan, Editor.

Language:

English

Subjects (All):

Fingers--surgery.

Plastic Surgery Procedures.

Medical Subjects:

Fingers--surgery.

Plastic Surgery Procedures.

Physical Description:

1 online resource (754 pages)

Edition:

1st ed.

Place of Publication:

New York : Thieme Medical Publishers, Incorporated, 2024.

Summary:

"Hand surgery is a multidisciplinary pursuit that requires exceptional artistry, superb skills, and harmonious teamwork developed over decades of practice. Reconstruction of the Thumb and Finger is a unique resource that follows a Socratic approach to teaching in a world consumed by computers. It reflects 225 years of collective surgical effort by five prominent hand surgeons, who have practiced from the embryonic stages of pedicle flaps and digital transposition to revascularization and free tissue transfers. The differing goals, techniques, expectations, and collaborative approaches advocated by these masters are articulated throughout this exceptional book"-- Provided by publisher.

Contents:

Cover

Title

Copyright

In Memoriam

Dedications

Contents

Foreword

Preface

Acknowledgments

1 Principles of Thumb and Finger Reconstruction: Concept&amp

nbsp

of Ray and Cascade

Key Points

Introduction

Concept of Ray and Cascade

The Essence of Hand Anatomy

Anatomical Characteristics of the Human Hand

The Skeletal System

The Musculotendinous System

Intrinsic Muscles

Digital Extension

Thumb and Digital Flexion

Nervous System

Vascular System

Integument System

Thumb and Finger Reconstruction

To Begin, Know Your Patient

Evaluation Phase

Formulation Phase

Execution Phase

Technical Considerations

Rehabilitation Phase

Endpoint and Perspectives

Classification of Defects

Transverse Defects of the Thumb and Finger

Oblique Longitudinal Defects: Thumb, Fingers, and Hand

DDI (Digital Defect Index): An Indexing System for Evaluation of Thumb and Finger Loss

Functional and Aesthetic Subunits&amp

of the Hand

2 Transverse Zones I and II of the Thumb

Normal Anatomy

Critical Thumb Zone I

Critical Thumb Zone II

Deformity/Functional Deficit

Deformity/Functional Deficit Thumb Zone I

Deformity/Functional Deficit Thumb Zone II

Terminology of Fingertip Losses

Reconstructive Objectives

Principles of Reconstruction

Reconstructive Options

Reconstructive Options Thumb Zone I

Reconstructive Options Thumb Zone II

Illustrative Case Studies and Discussions

Case Study 02-01: Reattachment as a Composite Graft

Case Study 02-02:

Discussion: Thumb Zone I and II Injuries

Case Study 02-03:

Discussion: Cross-Finger Flaps to the Thumb

Case Study 02-04: Debridement and Local Flap Revision

Discussion: The Painful Thumb

Case Study 02-05: Palmar V-to-Y Advancement.

Discussion: V-to-Y Flaps for Thumb and Fingertip Reconstruction

Discussion: Reconstruction in Critical Thumb Zone II

Lister's Treatment Algorithm: Thumb and Fingertip

Case Study 02-06: Chest Flap€ +€ Bone Graft

Case Study 02-07: Heterodigital Neurovascular Island Transfer

Discussion: Distant and Regional Flaps for Secondary Reconstruction&amp

of the Distal Thumb

Discussion: Microvascular Reattachment&amp

in the Distal Thumb and Finger

3 Transverse Zone III of the Thumb

Normal Anatomy Including Nail Complex

Case Study 03-01: Primary

Discussion: Primary Closure

Case Study 03-02: Microvascular Reattachment

Case Study 03-03: Distal Revascularization,&amp

Secondary Flexor Tendon Graft

Discussion: Reattachment versus Primary Closure

Discussion: Use of Vein Grafts

Discussion: Venous Congestion

Case Study 03-04: Local

Case Study 03-05: Local Bipedicle Advancement Closure€ +€ FTSG as an Elective&amp

Reconstruction

Discussion: Local Bipedicle Island Flap Advancement + FTSG

Case Study 03-06: Spare Parts Reconstruction of the Thumb

Discussion: Spare Parts

Case Study 03-07: Immediate "

Case Study 03-08: Immediate Modified or Trimmed Great Toe Transfer

Case Study 03-09: Elective Trimmed or Modified Great Toe Transfer

Discussion: Technique of

Discussion: Immediate versus Delayed Thumb Reconstruction

Cases Study 03-10: Heterodigital Ring-to-Thumb Transposition

Case Study 03-11: Osteoplastic Reconstruction of the Thumb

Discussion: Osteoplastic Reconstructions&amp

in Zone III of the Thumb

Case Study 03-12: Prosthesis (

Discussion: Prosthesis and Appearance.

4 Transverse Zone IV of the Thumb

Case Study 04-01: Thumb

Case Study 04-02: Skeletal

Discussion: Technique of Groin Flap Transfer to the Hand

Case Study 04-03: Failed

Discussion: Failed Replants and Osteoplastic Reconstruction

Case Study 04-04: Immediate Trimmed or Modified Toe Transfer

Case Study 04-05: Second Toe to Thumb and Second Toe to Long Finger

Case Study 04-06: Bilateral Thumb Reconstruction-Second Toe to Left Thumb and Trimmed Toe to Right Thumb

Discussion: Technique and Nuances of "Trimmed" or "Modified" Toe Transfer

Case Study 04-07: Bilateral Thumb Reconstruction: Right, Osteoplastic

&amp

Left, Second Toe Transfer

Case Study 04-08:

Discussion: Anatomical

Discussion: Which Toe to Choose?

Discussion: Preparation of the Vascular Pedicle?

Study 04-09: Modified (Trimmed) Great Toe Transfer in a Child

Discussion: Congenital

5 Transverse Zone V Defect of the Thumb

Case History 05-01: Elective Great Toe Transfer

Case Study 05-02: Delayed Replant and Immediate Osteoplastic

Discussion: Cold and Warm Ischemia Time

Case Study 05-03: The Painful, Parasitic Thumb Following Replantation

Discussion: Thumb Salvage Failures

Discussion: Release of the Thumb-Index Web Space Following Trauma

Case Study 05-04: Damaged Ring Finger to Thumb Transposition

Discussion: Finger to Thumb

Case Study 05-05: Immediate Trimmed Toe Reconstruction.

Case Study 05-06: Custom Hybrid Second Toe + Lateral Great Toe Flap Transfer to Thumb

Case Study 05-07: Metacarpal Distraction Lengthening + Creation of First Web Space (Phalangealization)

Discussion: Which Thumb Reconstruction&amp

Is Preferred?

Discussion: Thumb Length and Options at Critical Levels IV and V

6 Transverse Zone VI Defect of the Thumb

Case Study 06-01: Thumb

Case Study 06-02: Immediate Second Toe Transfer and Index Ray Resection

Case Study 06-03: Elective Second Toe Transfer

Discussion: Complete Loss of Phalangeal Thumb

Discussion: Importance of DIP Fusion of the Second Toe

Case Study 06-04: Great Toe Transfer with Dorsalis Pedis Pedicle Flap

Discussion: Skin Graft

Case Study 06-05: Elective Trimmed (Modified) Great Toe

Case Study 06-06: Trimmed (Modified) Great Toe Transfer-MP Joint Fused

Discussion: Modification of the Great Toe Transfer

Case Study 06-07: Bilateral Second Toe Transfer for Adactyly, One MP Mobile, and One MP Fused

Discussion: Thumb Length and Relative Importance of MP Mobility

Case Study 06-08: Osteoplastic Reconstruction

Case Study 06-09: Groin Pedicle Flap and Trimmed Great Toe Transfer

Discussion: Osteoplastic Principles

Brief History of Thumb Reconstruction

Discussion: Thumb Appearance, Contour and Revisions

Case Study 06-10: Distraction Metacarpal Lengthening

Case Study 06-11: Nonvascularized&amp

Toe Phalanx, Secondary&amp

Distraction Lengthening of the Thumb

Discussion: Distraction

Case Study 06-12: Second Toe Transfer, Distraction of Ulnar Post

Case Study 06-13: Symbrachydactyly&amp

nbsp.

Treated with Customized&amp

Double Second Toe Transfer

Discussion: Congenital Differences&amp

and Thumb Loss Critical Thumb Zone&amp

VI

7 Transverse Zone VII of the Thumb

Reconstruction Objectives

Case Study 07-01: Normal Index&amp

Finger Transposition to the Thumb

Case Study 07-02: Damaged Index Finger to Thumb Transposition

Case Study 07-03: Damaged Long Finger to Thumb Transposition

Discussion: Finger Transposition to Thumb

Discussion: Vascularized Toe Phalangeal Transfer Versus Finger Transposition

Case Study 07-04: Free

Discussion: Are "Custom-Made", "Double Toes" or "Twisted Toes" the Ultimate&amp

Reconstruction?

Case Study 07-05: Pedicle Flap Transfer€ +€Second Toe Transfer

Case Study 07-06: Groin Flap€ +€ Modified (Trimmed) Great Toe Transfer€ +€ Soft Tissue Revisions

Case Study 07-07: Groin Flap with Complication Followed by ALT Flap€ +€ Trimmed (Modified) Toe Transfer

Discussion: Strategic Planning, Details, and Execution

Case Study 07-08: Failed Replant, Groin Flap€ +€ Second Toe Transfer

Discussion: Options for Thumb Reconstruction and the Truth about Fasciocutaneous Flaps

8 Transverse Zone VIII of the Thumb

Deformity

Functional Deficit

Case Study 08-01: Reattachment of All Fingers and Thumb

Discussion: Thumb and Hand Reattachment&amp

at the

Case Study 08-02: Multiple Toe Transfer Following Vascular Catastrophe in Infancy.

Case Study 08-03: Groin Flap, Modified (Trimmed) Great Toe Transfer.

Notes:

Print version record.

ISBN:

9781638535553

1638535558

9781626238664

1626238669

9781684203697

1684203694