Reconstruction of the Thumb, the Second and Third Finger in Patient with Amputation of Right Five Fingers

Journal of the Korean Society for Surgery of the Hand 2001;10(2):143-148.
Published online November 30, 2001.

Jun-Mo Lee, M.D. and Gyu-Hyung Kim, M.D.

우측 수부의 모든 수지 절단 환자에서 무지와 제 2, 3 수지 재건술

이준모·김규형

Abstract

  The hand with amputation of all fingers is useless for activities of daily living and traumatic amputation of some of the fingers can result in the diminished ability to perform power grip and
  Precision grip which is vital to maintain normal function of the hand. Precision grip is used to hold an object between the opposable thumb and flexed fingers. In power grip the object is held between the flexed fingers and the palm while the thumb applies the necessary counterpressure to maintain the grip on the object.
  A 35 year old male lost his right all fingers including thumb at the level of proximal phalanx from the pressure machinary accident. Thumb was reconstructed using wrap around flap and the second and third fingers were reconstructed using the second and third toe transplantation. Seven years after reconstruction, he uses the reconstructed thumb and the second and the third fingers for eating meals, writing down a paper with a pencil and putting on socks.

Key Words: Traumatic amputation, All fingers including thumb, Reconstruction