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Reconstruction of the Thumb Tip

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Fingertip Injuries

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Abstract

Disruption of the anatomy and physiology of the thumb tip by injury can have an adverse impact on hand function. Normal thumb function requires adequate length, normal mobility, with stable, supple, durable, and sensate soft tissue coverage. Reconstruction of acute thumb-tip injuries must be carefully selected in order to restore normal function. For minor thumb pulp injury, a palmar or lateral V–Y advancement flap, or cross index finger flap may be employed. Substantial thumb-tip injury requires more complex reconstruction. The three principal reconstructions for these injuries are the Moberg, neurovascular island, and first dorsal metacarpal artery flaps and will be the focus of this chapter.

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Author information

Authors and Affiliations

  1. Clinical Faculty, Oklahoma Hand Surgery Fellowship, Program, OK, USA

    Margaret A. Porembski MD

  2. Department of Orthopedic Surgery and Rehabilitation, University of Oklahoma, 920 Stanton L. Young Blvd, Suite WP 1380, 73104, Oklahoma City, OK, USA

    Thomas P. Lehman MD

  3. Clinical Professor Orthopedic Surgery, University of Oklahoma, Oklahoma, OK, USA

    Ghazi M. Rayan MD

  4. Adjunct Professor of Anatomy / Cell Biology, University of Oklahoma, Program, OK, USA

    Ghazi M. Rayan MD

  5. Director of Oklahoma Hand Surgery Fellowship Program, Program, OK, USA

    Ghazi M. Rayan MD

Authors
  1. Margaret A. Porembski MD
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  2. Thomas P. Lehman MD
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  3. Ghazi M. Rayan MD
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Corresponding author

Correspondence to Margaret A. Porembski MD .

Editor information

Editors and Affiliations

  1. Uniformed Services University Health Sciences Center, Rockville, Maryland, USA

    Leo M. Rozmaryn

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© 2015 Springer International Publishing Switzerland

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Porembski, M., Lehman, T., Rayan, G. (2015). Reconstruction of the Thumb Tip. In: Rozmaryn, L. (eds) Fingertip Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-13227-3_7

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  • DOI: https://doi.org/10.1007/978-3-319-13227-3_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-13226-6

  • Online ISBN: 978-3-319-13227-3

  • eBook Packages: MedicineMedicine (R0)

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