Reconstruction of the Thumb in Malignant Melanoma -A case of long term follow up-

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Journal of the Korean Society for Surgery of the Hand 1998;3(2):315-319.
Published online January 1, 1998.

Jun Mo Lee,Ki Young Chang

수부 무지 악성 흑색종의 재건술 -장기 추시 1례 보고-

이준모,장기영

Abstract

The nail of the thumb is one of the frequent sites in the occurrence of the malignant melanoma and requires early diagnosis and excision at 1- 3 cm from the lesion in recent trends. We excised the nail of the thumb and soft tissues of the distal and proximal phalanx in a radical dissection fashion t o the metacarpophalangeal j oint level leaving distal and proximal phalangeal bone, flexor and extensor tendons and intrinsic ligament s int act and wrap- around free flap was chosen for the reconstruction of the thumb. We report a case of thumb reconstruction in malignant melanoma with wrap- around flap from the big toe and followed up 5 year s and 5 months.

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