Transfer of the Fifth Finger to Replace an Amputated Thumb: A Preliminary Study

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dc.contributor.authorInce, Bilsev
dc.contributor.authorGundeslioglu, Ayse Ozlem
dc.contributor.authorCicekcibasi, Aynur Emine
dc.contributor.authorDadaci, Mehmet
dc.contributor.authorInan, Irfan
dc.contributor.authorBuyukmumcu, Mustafa
dc.date.accessioned2024-02-23T14:27:10Z
dc.date.available2024-02-23T14:27:10Z
dc.date.issued2015
dc.departmentNEÜen_US
dc.description.abstractAmputation of the thumb causes not only loss of significant functional use of the hand but also psychological and social problems. The procedures of toe-to-thumb transfer, pollicization, or metacarpal extension are recognized and well-documented options in thumb reconstruction. Although these techniques have been successfully applied, they have some disadvantages. This study aims to test the feasibility of the fifth finger for thumb reconstruction. The fifth finger was released following exploration of the digital artery, vein, nerve, and flexor and extensor tendons, including the flexor retinaculum. The digital vein and the extensor tendon of the fifth finger were separated at the level of the metacarpophalangeal joint. The proximal phalanx of the fifth finger was cut smoothly at the level of the metacarpophalangeal joint with a saw. The deep flexor tendons, digital arteries, and nerves were preserved. The proximal phalanx of the released fifth finger was fixed to the first metacarpal bone. The digital vein of the first finger was anastomosed to the digital vein of the fifth finger by microsurgery. Angiography was done after the transfer. Exploration till the flexor retinaculum enabled thumb transfer without any restriction of movement in all 10 cadaver fingers. The average total surgical time was 135 +/- 12 minutes. Flow from both radial and ulnar arteries was demonstrated in the transferred fifth finger by angiography. The technique appears to be feasible for thumb reconstruction by preserving digital arteries and nerves in a relatively short time, but further important aspects have to be assessed in further clinical studies.en_US
dc.identifier.doi10.1177/1553350614554233
dc.identifier.endpage468en_US
dc.identifier.issn1553-3506
dc.identifier.issn1553-3514
dc.identifier.issue5en_US
dc.identifier.pmid25320109en_US
dc.identifier.scopus2-s2.0-84941947683en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage462en_US
dc.identifier.urihttps://doi.org/10.1177/1553350614554233
dc.identifier.urihttps://hdl.handle.net/20.500.12452/14459
dc.identifier.volume22en_US
dc.identifier.wosWOS:000361769100002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofSurgical Innovationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOrthopedic Surgeryen_US
dc.subjectNeurosurgeryen_US
dc.subjectSurgical Educationen_US
dc.titleTransfer of the Fifth Finger to Replace an Amputated Thumb: A Preliminary Studyen_US
dc.typeArticleen_US

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