Coverage of soft parts of the Thumb. Guide for decision making

Authors

  • Pablo Ruiz-Riquelme Hospital Clínico La Florida. Santiago, Chile
  • Esteban Urrutia-Hoppe Pontificia Universidad Católica de Chile. Santiago, Chile

DOI:

https://doi.org/10.1016/j.rccot.2021.01.008

Keywords:

thumb, surgical flap, hand flaps, soft-tissue coverage, reconstructive surgery

Abstract

Digital injuries are frequent in medical practice. When they involve the thumb, it is important to consider that an amputation affects up to 50% of the hands’ function and decreases its strength by up to 20%. Management of thumb injuries often requires coverage with local flaps, which are not always performed by hand surgeons. Choosing the right flap is essential to avoid restrictions in mobility and functional limitations of the injured finger. Our objective is to summarize and provide a strategy for the analysis of thumb injuries that may help to understand the different types of lesions, and the surgical approaches recommend in order to optimize coverage and long term results.
Evidence Level: IV

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Author Biographies

Pablo Ruiz-Riquelme, Hospital Clínico La Florida. Santiago, Chile

Departamento de Ortopedia y Traumatología, Hospital Clínico La Florida, Santiago, Chile. Escuela de Medicina, Universidad Finis Terrae, Santiago, Chile.

Esteban Urrutia-Hoppe, Pontificia Universidad Católica de Chile. Santiago, Chile

Cirujano de Ortopedia y Traumatología Equipo Mano, Pontificia Universidad Católica de Chile, Santiago, Región Metropolitana de Chile.

References

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Published

2021-02-27

How to Cite

1.
Ruiz-Riquelme P, Urrutia-Hoppe E. Coverage of soft parts of the Thumb. Guide for decision making. Rev. Colomb. Ortop. Traumatol. [Internet]. 2021 Feb. 27 [cited 2025 May 11];35(1):67-73. Available from: https://revistasccotorg.biteca.online/index.php/rccot/article/view/215

Issue

Section

Original research