Author/Editor		Bervar, Marijan
Title		Zgodnje podaljšanje krna palca s sestavljenim pecljatim režnjem s sosednjega, hudo poškodovanega prsta. Prikaz primera
Translated title		Early elongation of a thumb stump with a composite pedicled flap from the adjacent, severely injured finger. A case report
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 66, št. Suppl 1
Publication year		1997
Volume		str. I-53-6
Language		slo
Abstract		Backround. The purpose of this report is to present one of the alternative possibilities for elongation of the stump of a thumb following traumatic loss at the level of the metacarpophalangeal (MCP) joint. Reconstruction is possible only in rare cases of complex loss of thumb with adjacent fingers. its aim is to improve the function of the injured hand in such cases. Methods. For reconstruction of the stump of the thumb we used a composite pedicled flap from the remnant of the adjacent severely injured index finger. In this manner not only a longer stump, but also the removal of the disturbing index remnant, a widening and deepening of the interdigital space and better grasp were achieved. Results. The reconstructed stump allowed the patient's relatively fast and acceptable restoration of working capability. Conclusions. The described reconstructive method has its advantages and disadvantages. The disadvantages are: limited applicability, loss of segmental mobility and unacceptable appearance. The advantages are: the reconstruction technique is not complicated, it can be performed as a primary, one-step procedure.
Summary		Izhodišča. Članek prikazuje eno od alternativnih možnosti za podaljšanje krna palca pri travmatskih izgubah v višini dlančnično-členskega, tj. metakarpofalangealnega sklepa (MKF) za izboljšanje funkcionalne sposobnosti roke. Rekonstrukcija je izvedljiva v izjemnih primerih, ko je preŠlo hkrati do izgube palca in sosednjih prstov. Metode. Za rekonstrukcijo oživčevnja podaljška palčevega krna smo uporabili pecljati sestavljeni reženj iz ostanka sosednjega hudo poškodovanega kazalca. S tem nismo dosegli samo večje dolžine krna, ampak tudi odstranili moteči ostanek kazalca, razširili in poglobili prostor ter omogočili zanesljivejši prijem. Rezulati. Podaljšek krna palca je bolniku omogočil sorazmerno hitro in sprejemljivo vrnitev delovne sposobnosti. Zaključki. opisana rekonstruktivna metoda ima svoje prednosti in pomanjkljivosti. Pomanjkljivosti so omejena uporabnost, izguba segmentne gibljivosti ter nesprejemljiv izgled. Prednosti pa so preprosta tehnika, izvedljivost že med primarno oskrbo poškodbe in enostopenjskost posega.
Descriptors		THUMB SURGICAL FLAPS SURGERY, PLASTIC METACARPOPHALANGEAL JOINT HAND STRENGTH TREATMENT OUTCOME