{"title":"Use of autologous vascularized joint flap for the thumb MCP joint arthroplasty.","authors":"V H Trung, T A Dung, N Van Cuong","doi":"10.1016/j.anplas.2025.03.002","DOIUrl":null,"url":null,"abstract":"<p><p>Occupational hand-related fractures are the most frequently encountered traumatic injuries sustained at work. Lesions in this area, especially those that combine bony and soft tissue defects, often require complex grafting techniques. Flaps for soft tissues are widely used, but those incorporating bones and joints have not been widely assessed. In this study, we performed a thumb metacarpophalangeal joint (MCPJ) reconstruction using an autologous vascularised joint flap from a non-salvageable 5th finger. Post-operatively, and on follow-up after 5 months, the patient restored thumb length, adequate range of movement (active 0°/65° and passive 20°/70°) alongside decent aesthetics. Compared to similar cases, this technique has many advantages over alternative interventions. LEVEL OF EVIDENCE: Level IV.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4000,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annales De Chirurgie Plastique Esthetique","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.anplas.2025.03.002","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Occupational hand-related fractures are the most frequently encountered traumatic injuries sustained at work. Lesions in this area, especially those that combine bony and soft tissue defects, often require complex grafting techniques. Flaps for soft tissues are widely used, but those incorporating bones and joints have not been widely assessed. In this study, we performed a thumb metacarpophalangeal joint (MCPJ) reconstruction using an autologous vascularised joint flap from a non-salvageable 5th finger. Post-operatively, and on follow-up after 5 months, the patient restored thumb length, adequate range of movement (active 0°/65° and passive 20°/70°) alongside decent aesthetics. Compared to similar cases, this technique has many advantages over alternative interventions. LEVEL OF EVIDENCE: Level IV.
期刊介绍：
Qu''elle soit réparatrice après un traumatisme, pratiquée à la suite d''une malformation ou motivée par la gêne psychologique dans la vie du patient, la chirurgie plastique et esthétique touche toutes les parties du corps humain et concerne une large communauté de chirurgiens spécialisés.
Organe de la Société française de chirurgie plastique reconstructrice et esthétique, la revue publie 6 fois par an des éditoriaux, des mémoires originaux, des notes techniques, des faits cliniques, des actualités chirurgicales, des revues générales, des notes brèves, des lettres à la rédaction.
Sont également présentés des analyses d''articles et d''ouvrages, des comptes rendus de colloques, des informations professionnelles et un agenda des manifestations de la spécialité.
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