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Unlabelled: 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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From Simple to Complex: Preserving and Reconstructing the Traumatized Thumb.

Clin Plast Surg

October 2024

Department of Plastic Surgery, Medical College of Wisconsin, 8701 W. Watertown Plank Road, Wauwatosa, WI 53226, USA.

Traumatic thumb injuries significantly affect overall hand function and may result in considerable disability. Reconstructing the traumatized thumb requires a detailed preoperative assessment of the defect and evaluation of the patient's social history and medical comorbidities. Reconstructive techniques can be stratified by the level of thumb injury.

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An urgent issue is the preservation or reconstruction of the volume of bone tissue in planning and surgical treatment in the fields of medicine, such as traumatology, orthopedics, maxillofacial surgery and dentistry. After tooth extraction, resorption of the bone tissue of the alveolar crest of the jaws occurs, which must either be further eliminated by performing additional operations or using osteoplastic material for socket preservation at the extraction stage. The aim of the study was a comparative analysis of various osteoplastic materials used to preserve the volume of bone tissue in the preimplantation period.

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For amputation of the thumb in any age group, microsurgical replantation is the gold standard over other osteoplastic thumb reconstruction methods as it restores the form, function, and cosmesis of the thumb better. In the osteoplastic reconstruction of the thumb, usually, a pedicled groin flap or a reverse radial artery forearm flap is used to provide the soft tissue cover, and each of these flaps has its own set of merits and demerits. The reverse radial artery forearm flap can be used as a fascial or fasciocutaneous flap in an islanded or peninsular form.

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The osteoplastic flap for pediatric temporal lobe epilepsy treatment: step-by-step guide and technical nuances.

Childs Nerv Syst

April 2024

Department of Neurological Surgery, Miller School of Medicine, University of Miami, Jackson Memorial Hospital, Miami, FL, 33136, USA.

The osteoplastic flap is an under-utilized craniotomy approach in pediatric temporal lobe epilepsy treatment. By preserving the myofascial attachment of the temporalis muscle, the flap is allowed the remain vascularized while subdural and intracranial electrodes are in place. The process in which the flap is made and handled throughout this process can be complicated.

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