East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
Vol. 17, No. 3, 2012, pp. 107-111
Bioline Code: js12060
Full paper language: English
Document type: Case Report
Document available free of charge
East and Central African Journal of Surgery, Vol. 17, No. 3, 2012, pp. 107-111
© Copyright 2012 - East and Central African Journal of Surgery
Use of Proximal Phalanx of the Index Finger to Reconstruct Thumb Metacarpal: A Case Report|
Lumbasi, L.M.B. & Nott, D.
A 12 year old girl sustained injuries to her left hand and abdominal wall, from a mortar shelling incident.
The index and thumb metacarpal were destroyed by the blast while the abdominal injury was nonpenetrating.
Five days after debridement, the distal thumb and index finger remained viable. The proximal
phalanx of the index finger was mobilized on its vascular pedicle as a composite graft to reconstruct the
metacarpal of her thumb. The remaining skin defect was covered later by a fasciocutaneous flap based on
the dorsal interosseous artery and split thickness graft. We present this case as the first one reported in