Journal of Japanese Society of Reconstructive Microsurgery
Online ISSN : 2185-9949
Print ISSN : 0916-4936
ISSN-L : 2185-9949
Case Report
A Case of Total Thumb Reconstruction Using the Amputated Index Finger
Motoko OYAMADATakehiro DAIANAyami ITO
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2018 Volume 31 Issue 1 Pages 25-28

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Abstract
In cases of multiple finger amputation, replantation of all amputated fingers may not be possible depending on the condition of the amputated fingers. Therefore, other reconstructive procedures should be considered, such as ectopic replantation, which is an important treatment option, especially when the thumb is one of the amputated fingers. We report the case of a 22-year-old man with complete amputation of his left thumb and index finger. The thumb amputation level was distal of the carpometacarpal joint and the amputated thumb was crushed too severely to perform replantation. We ectopically replanted the amputated index finger to the thumb stump at the anatomical position because the amputated index finger was less damaged. Good results were obtained in terms of both function and appearance.
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© 2018 Japanese Society of Reconstructive Microsurgery
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