Revisiting Gillies' "Cocked Hat" Reconstruction for Thumb Reconstruction.
Abstract
A technique for reconstructing a thumb following amputation through the metacarpal phalangeal joint is described. This technique was first described by Gillies and involves bony augmentation with iliac crest bone graft to lengthen the first ray and a random pattern flap to cover and provide durable sensate soft tissue coverage. As opposed to more commonly performed procedures, this technique does not involve microsurgery or any specialized equipment. There are several limitations to this technique, but it remains a good option where resources do not allow more modern reconstructive procedures. We present our use of the technique, which was performed at a forward operating base for a coalition service member.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | microsurgery
|
미세수술 | dict | 1 | |
| 시술 | flap
|
피판재건술 | dict | 1 | |
| 해부 | tissue
|
scispacy | 1 | ||
| 합병증 | sensate soft
|
scispacy | 1 | ||
| 질환 | amputation
|
C0002688
Amputation
|
scispacy | 1 | |
| 기타 | Gillies
|
scispacy | 1 | ||
| 기타 | metacarpal phalangeal joint
|
scispacy | 1 | ||
| 기타 | iliac crest bone graft
|
scispacy | 1 |
MeSH Terms
Amputation, Traumatic; Humans; Microsurgery; Plastic Surgery Procedures; Surgical Flaps; Thumb
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