Cargando…
Reconstruction of the thumb interphalangeal joint from the second toe proximal interphalangeal joint combined with artificial dermis covering: A case report
RATIONALE: Thumb function is one of the most fundamental components of hand function, and a vast majority of hand functions are derived from thumb motion. Injury of the thumb interphalangeal joint has a tremendous impact on the function of the thumb, and damage to the thumb interphalangeal joint (IP...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276302/ https://www.ncbi.nlm.nih.gov/pubmed/35608416 http://dx.doi.org/10.1097/MD.0000000000029043 |
_version_ | 1784745691430518784 |
---|---|
author | Wen, Haihua Deng, Weicong Hong, Yongchang Lin, Zhengjiang |
author_facet | Wen, Haihua Deng, Weicong Hong, Yongchang Lin, Zhengjiang |
author_sort | Wen, Haihua |
collection | PubMed |
description | RATIONALE: Thumb function is one of the most fundamental components of hand function, and a vast majority of hand functions are derived from thumb motion. Injury of the thumb interphalangeal joint has a tremendous impact on the function of the thumb, and damage to the thumb interphalangeal joint (IPJ) caused by trauma is usually accompanied by dislocation of the surrounding skin; therefore, it is particularly important to restore the thumb anatomy and skin coverage. PATIENT CONCERNS: A 41-year-old woman presented with IPJ disfigurement accompanied by a local skin defect caused by machine compression of her right thumb. Restoring the appearance and function of the thumb is key to this operation. DIAGNOSES: Open fracture of the right thumb. INTERVENTIONS: After detailed preoperative and radiographic evaluation, the appearance and function of the thumb were reconstructed by IPJ grafting and artificial dermis covering. OUTCOMES: At 4 months’ follow-up, the patient's visual analogue score was 0, no complications (eg, osteomyelitis, osteolysis, osteoarthritis, and nonunion of the artificial dermis) were observed, and the range of motion of the thumb IPJ returned to 60% of that of the healthy side. LESSONS: The innovative application of the second toe proximal IPJ flap combined with double-layer artificial dermis covering to reconstruct the thumb IPJ defect not only solves the problem of skin defects in the recipient area after transplantation in previous cases but also restores the beauty of the recipient area, making it easier for patients to accept this surgical program. |
format | Online Article Text |
id | pubmed-9276302 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-92763022022-07-13 Reconstruction of the thumb interphalangeal joint from the second toe proximal interphalangeal joint combined with artificial dermis covering: A case report Wen, Haihua Deng, Weicong Hong, Yongchang Lin, Zhengjiang Medicine (Baltimore) 7100 RATIONALE: Thumb function is one of the most fundamental components of hand function, and a vast majority of hand functions are derived from thumb motion. Injury of the thumb interphalangeal joint has a tremendous impact on the function of the thumb, and damage to the thumb interphalangeal joint (IPJ) caused by trauma is usually accompanied by dislocation of the surrounding skin; therefore, it is particularly important to restore the thumb anatomy and skin coverage. PATIENT CONCERNS: A 41-year-old woman presented with IPJ disfigurement accompanied by a local skin defect caused by machine compression of her right thumb. Restoring the appearance and function of the thumb is key to this operation. DIAGNOSES: Open fracture of the right thumb. INTERVENTIONS: After detailed preoperative and radiographic evaluation, the appearance and function of the thumb were reconstructed by IPJ grafting and artificial dermis covering. OUTCOMES: At 4 months’ follow-up, the patient's visual analogue score was 0, no complications (eg, osteomyelitis, osteolysis, osteoarthritis, and nonunion of the artificial dermis) were observed, and the range of motion of the thumb IPJ returned to 60% of that of the healthy side. LESSONS: The innovative application of the second toe proximal IPJ flap combined with double-layer artificial dermis covering to reconstruct the thumb IPJ defect not only solves the problem of skin defects in the recipient area after transplantation in previous cases but also restores the beauty of the recipient area, making it easier for patients to accept this surgical program. Lippincott Williams & Wilkins 2022-05-27 /pmc/articles/PMC9276302/ /pubmed/35608416 http://dx.doi.org/10.1097/MD.0000000000029043 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | 7100 Wen, Haihua Deng, Weicong Hong, Yongchang Lin, Zhengjiang Reconstruction of the thumb interphalangeal joint from the second toe proximal interphalangeal joint combined with artificial dermis covering: A case report |
title | Reconstruction of the thumb interphalangeal joint from the second toe proximal interphalangeal joint combined with artificial dermis covering: A case report |
title_full | Reconstruction of the thumb interphalangeal joint from the second toe proximal interphalangeal joint combined with artificial dermis covering: A case report |
title_fullStr | Reconstruction of the thumb interphalangeal joint from the second toe proximal interphalangeal joint combined with artificial dermis covering: A case report |
title_full_unstemmed | Reconstruction of the thumb interphalangeal joint from the second toe proximal interphalangeal joint combined with artificial dermis covering: A case report |
title_short | Reconstruction of the thumb interphalangeal joint from the second toe proximal interphalangeal joint combined with artificial dermis covering: A case report |
title_sort | reconstruction of the thumb interphalangeal joint from the second toe proximal interphalangeal joint combined with artificial dermis covering: a case report |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276302/ https://www.ncbi.nlm.nih.gov/pubmed/35608416 http://dx.doi.org/10.1097/MD.0000000000029043 |
work_keys_str_mv | AT wenhaihua reconstructionofthethumbinterphalangealjointfromthesecondtoeproximalinterphalangealjointcombinedwithartificialdermiscoveringacasereport AT dengweicong reconstructionofthethumbinterphalangealjointfromthesecondtoeproximalinterphalangealjointcombinedwithartificialdermiscoveringacasereport AT hongyongchang reconstructionofthethumbinterphalangealjointfromthesecondtoeproximalinterphalangealjointcombinedwithartificialdermiscoveringacasereport AT linzhengjiang reconstructionofthethumbinterphalangealjointfromthesecondtoeproximalinterphalangealjointcombinedwithartificialdermiscoveringacasereport |