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El Parmak Yokluğunda Ayaktan Ele Damarsız Falanks Transferiyle Tedavi(Olgu Sunumu)

Nonvascularized Toe Phalanx Transfers in The Treatment Of Aphalangia( A case report)

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
In congenital malformations the lenghtening of partially aplastic digits, by on-top plasty of a bone graft, or the bony stabilization of finger stumps consisting of soft tissue without skeletal elements, is extremelly difficult. In this study we report a rare case with congenital aphalangia of thirth and fourth fingers of the left hand treated with nonvascularised proximal phalanxes of second and thirth toes. We had satisfactory results for function and cosmetic at the 20th months followup evaluation.
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Abstract (Original Language): 
Eldeki konjenital deformiteler içinde kısmi parmak yokluklarının kemik grefti ile uzatma veya iskelet desteği olmaksızın parmak yumuşak dokusunun bulunduğu durumlarda kemiğin stabilizsayonu oldukça zordur. Bu çalışmamızda sol elde doğuştan üçüncü ve dördüncü parmak yokluğu olan bir olguya, ayak ikinci ve üçüncü parmak proksimal palankslarını, damarsız olarak transfer ettik. Hastanın 20 aylık takibinde fonksiyonel ve kozmetik olarak kabul edilebilir bir sonuç elde ettik.
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  • 1
43-45
  • Turkish

REFERENCES

References: 

1. James MA, Durkin RC. Nonvascularized toe proximal phalanx transfers in the treatment of aphalangia. Hand Clin 1998;Vol.14(1), 1-15.
2. Bourk G, Kay SP. Free phalangeal transfer: donor site outcome. Br J Plast Surg 2002; 55(4):307-11.
3. Buck-Gramko D. The role of nonvascularized toe proximal phalanx transplantation. Hand clin 1990;6(4):643-59.
4. Bradbury ET, Kay SP, Hewison J. The psychological impact of microvascular free toe transfer for children and their parents. J Hand Surg [Br]1994; 19(6):689-95.
5. Chung KC, Wei FC. An outcome study of thumb reconstruction using microvascular toe transfer. J Hand Surg [Am] 2000; 25(4):651-8.
6. Foucher G, Pajardi G, Lamas C, Medina J, Navarro R. Progressive bone lenghtening of the hand in congenital malformations.41 cases. Rev Chir Orthop Reparatrice Appar Mot 2001; 87(5):451-8
7. Buck-Gramcko U, Buck-Gramcko D. Free toe transplantation in congenital hand defects. Handchir Microchir Plast Chir 1995; 27(4):181-8.

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