Iliac crest bone graft with radial forearm flap for thumb reconstruction: A case report
Traumatic thumb amputation is a serious injury that requires replantation or reconstruction. Toe-to-thumb transfers method have great survival and patient satisfaction in thumb reconstruction. Alternative method like Iliac Crest Bone Graft (ICBG) with flaps may help surgeons achieve maximum results....
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Trauma Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644024001298 |
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| author | Dwi Purnomo Setyo Budi Mochamad Sadabaskara Filberto Budhy Bontor Daniel Sinaga |
| author_facet | Dwi Purnomo Setyo Budi Mochamad Sadabaskara Filberto Budhy Bontor Daniel Sinaga |
| author_sort | Dwi Purnomo Setyo Budi |
| collection | DOAJ |
| description | Traumatic thumb amputation is a serious injury that requires replantation or reconstruction. Toe-to-thumb transfers method have great survival and patient satisfaction in thumb reconstruction. Alternative method like Iliac Crest Bone Graft (ICBG) with flaps may help surgeons achieve maximum results. A 32-year-old male presented with occupational traumatic right thumb amputation. After initial debridement and K-wire installation, the thumb became necrotic. An ICBG with radial forearm flap was performed after the patient denied a toe-to-thumb transfer. Follow-up demonstrated viable flap, no infection, good joint mobility, and improved Kapandji and DASH scores. Osteoplastic reconstruction of the thumb using ICBG method is valuable for amputations around the metacarpophalangeal level preserving native anatomy and function. Radial forearm flaps are advantageous due to their thin, pliable and ability to preserve the radial artery. However, donor morbidity and potential complications should be considered. ICBG with radial forearm flap showed promising result. Level of evidence: Level IV (Therapeutic). |
| format | Article |
| id | doaj-art-7009afdf23fa4ac58419e030c4d0a1e7 |
| institution | Kabale University |
| issn | 2352-6440 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj-art-7009afdf23fa4ac58419e030c4d0a1e72025-08-20T03:46:58ZengElsevierTrauma Case Reports2352-64402024-12-015410110610.1016/j.tcr.2024.101106Iliac crest bone graft with radial forearm flap for thumb reconstruction: A case reportDwi Purnomo Setyo Budi0Mochamad Sadabaskara1Filberto Budhy2Bontor Daniel Sinaga3Department of Orthopaedics and Traumatology, MRCCC Siloam Hospitals Semanggi, Jakarta, IndonesiaDepartment of Orthopaedics and Traumatology, MRCCC Siloam Hospitals Semanggi, Jakarta, IndonesiaDepartment of Orthopaedic and Traumatology, Dr.Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaDepartment of Orthopaedics and Traumatology, MRCCC Siloam Hospitals Semanggi, Jakarta, Indonesia; Corresponding author at: Department of Orthopaedics and Traumatology, MRCCC Siloam Hospitals Semanggi, Garnisun Dalam Street Number 2-3, Jakarta, Indonesia.Traumatic thumb amputation is a serious injury that requires replantation or reconstruction. Toe-to-thumb transfers method have great survival and patient satisfaction in thumb reconstruction. Alternative method like Iliac Crest Bone Graft (ICBG) with flaps may help surgeons achieve maximum results. A 32-year-old male presented with occupational traumatic right thumb amputation. After initial debridement and K-wire installation, the thumb became necrotic. An ICBG with radial forearm flap was performed after the patient denied a toe-to-thumb transfer. Follow-up demonstrated viable flap, no infection, good joint mobility, and improved Kapandji and DASH scores. Osteoplastic reconstruction of the thumb using ICBG method is valuable for amputations around the metacarpophalangeal level preserving native anatomy and function. Radial forearm flaps are advantageous due to their thin, pliable and ability to preserve the radial artery. However, donor morbidity and potential complications should be considered. ICBG with radial forearm flap showed promising result. Level of evidence: Level IV (Therapeutic).http://www.sciencedirect.com/science/article/pii/S2352644024001298Thumb amputationOccupational injuryThumb reconstructionIliac crest bone graftRadial forearm flap |
| spellingShingle | Dwi Purnomo Setyo Budi Mochamad Sadabaskara Filberto Budhy Bontor Daniel Sinaga Iliac crest bone graft with radial forearm flap for thumb reconstruction: A case report Trauma Case Reports Thumb amputation Occupational injury Thumb reconstruction Iliac crest bone graft Radial forearm flap |
| title | Iliac crest bone graft with radial forearm flap for thumb reconstruction: A case report |
| title_full | Iliac crest bone graft with radial forearm flap for thumb reconstruction: A case report |
| title_fullStr | Iliac crest bone graft with radial forearm flap for thumb reconstruction: A case report |
| title_full_unstemmed | Iliac crest bone graft with radial forearm flap for thumb reconstruction: A case report |
| title_short | Iliac crest bone graft with radial forearm flap for thumb reconstruction: A case report |
| title_sort | iliac crest bone graft with radial forearm flap for thumb reconstruction a case report |
| topic | Thumb amputation Occupational injury Thumb reconstruction Iliac crest bone graft Radial forearm flap |
| url | http://www.sciencedirect.com/science/article/pii/S2352644024001298 |
| work_keys_str_mv | AT dwipurnomosetyobudi iliaccrestbonegraftwithradialforearmflapforthumbreconstructionacasereport AT mochamadsadabaskara iliaccrestbonegraftwithradialforearmflapforthumbreconstructionacasereport AT filbertobudhy iliaccrestbonegraftwithradialforearmflapforthumbreconstructionacasereport AT bontordanielsinaga iliaccrestbonegraftwithradialforearmflapforthumbreconstructionacasereport |