Lengthening of a thumb distal phalanx replanted to its metacarpus because of loss of the proximal phalanx: case report

J Hand Surg Am. 2011 Apr;36(4):661-4. doi: 10.1016/j.jhsa.2010.12.024.

Abstract

We report a successful thumb replantation by resecting the remnants of the crushed proximal phalanx and uniting the distal phalanx with the thumb metacarpal. The procedure resulted in extreme shortening, which we managed by distraction lengthening and deepening of the first webspace.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amputation, Traumatic / diagnosis
  • Amputation, Traumatic / surgery*
  • Bone Lengthening / methods*
  • External Fixators
  • Finger Phalanges / injuries
  • Finger Phalanges / surgery*
  • Follow-Up Studies
  • Hand Strength
  • Humans
  • Male
  • Metacarpus / surgery
  • Plastic Surgery Procedures / instrumentation*
  • Plastic Surgery Procedures / methods
  • Postoperative Care / methods
  • Recovery of Function
  • Replantation / methods*
  • Risk Assessment
  • Thumb / injuries
  • Thumb / surgery*
  • Treatment Outcome