Sensible Daumenkuppenwiederherstellung

Nikolai Kuz; Günter Germann

doi:10.1055/a-1995-0649

Handchirurgie Scan, Table of Contents

Handchirurgie Scan 2023; 12(04): 287-299
DOI: 10.1055/a-1995-0649

CME-Fortbildung

Daumen

Sensible Daumenkuppenwiederherstellung

Nikolai Kuz

,

Günter Germann

Abstract

Fingerverletzungen sind die häufigsten Verletzungen der Hand. Deren Ausmaß und die resultierenden Folgen werden häufig unterschätzt und können neben bleibenden Funktionseinschränkungen auch enorme sozioökonomische Schäden verursachen. Aufgrund der großen Bedeutung des Daumens für die globale Funktion der Hand erfordert ein Daumenkuppendefekt mit Verlust der Sensibilität eine optimale Primärversorgung und Nachbehandlung. Neben dem größtmöglichen Längenerhalt ist die Wiederherstellung einer sensiblen Daumenfingerbeere das oberste Therapieziel.

Schlüsselwörter

Daumenkuppendefekt - Rekonstruktion - Sensibilität - Lappenplastik

Full Text

References

Literatur
1 Reid DBC, Shah KN, Eltorai AEM. et al. Epidemiology of Finger Amputations in the United States From 1997 to 2016. J Hand Surg Global Online 2019; 1: 45-51
2 Pillukat T, van Schoonhoven J. Infektionen an der Hand. Orthop Unfallchir up2date 2008; 3: 195-214
3 Allen MJ. Conservative management of finger tip injuries in adults. Hand 1980; 12: 257-265
4 Evan DM, Bernardis C. A new classification for fingertip injuries. J Hand Surg Br 2000; 25: 58-60
5 Tamai S. Twenty years' experience of limb replantation – review of 293 upper extremity replants. J Hand Surg Am 1982; 7: 549-556
6 Mennen U, Wiese A. Fingertip injuries management with semi-occlusive dressing. J Hand Surg Br 1982; 18: 416-422
7 Soderberg T, Nystrom A, Hallmans G. et al. Treatment of fingertip amputations with bone exposure. A comparative study between surgical and conservative treatment methods. Scand J Plast Reconstr Surg 1983; 17: 147-152
8 Mühldorfer-Fodor M, Hohendorf B, Vorderwinkler KP. et al. Treatment of fingertip defect injuries with a semiocclusive dressing according to Mennen and Wiese. Oper Orthop Traumatol 2013; 25: 104-114
9 Pastor T, Hermann P, Haug L. et al. Semi-occlusive dressing therapy versus surgical treatment in fingertip amputation injuries: a clinical study. Eur J Trauma Emerg Surg 2023; 49: 1441-1447
10 Quadlbauer S, Pezzei C, Jurkowitsch J. et al. The semi-occlusive dressing in treating Allen III and IV fingertip injuries as an alternative to local skin flaps. Unfallchirurg 2017; 120: 961-968
11 Vogt PM, Lehnhardt M, Wagner D. et al. Determination of endogenous growth factors in human wound fluid: temporal presence and profiles of secretion. Plast Reconstr Surg 1998; 102: 117-123
12 Moberg E. Aspects of Sensation in Reconstructive Surgery of the Upper Extremity. J Bone Joint Surg Am 1964; 46: 817-825
13 Tranquilli-Leali E. Reconstruzione dellʼa pice delle falangi ungueali mediante autoplastica volare peduncolata per scarrimento. Infort Traum Lavoro 1935; 1: 186-193
14 Geissendörfer H. Beitrag zur Fingerkuppenplastik. Zbl Chir 1943; 31: 1107-1108
15 Martin C, Gonzalez del Pino J. Controversies in the treatment of fingertip amputations. Conservative versus surgical reconstruction. Clin Orthop Relat Res 1998; 353: 63-73
16 Baumeister S, Menke H, Tränkle M. Deutsche Gesellschaft für Chirurgie. et al. Lokale Möglichkeiten der Defektdeckung am Daumen. In: Perspektiven der Chirurgie im 21. Jahrhundert. Berlin: Springer; 2000.
17 O'Brien B. Neurovascular island pedicle flaps for terminal amputations and digital scars. Br J Plast Surg 1968; 21: 258-261
18 Epping W. Der modifizierte Verschiebelappen nach Dellon zur Rekonstruktion der Daumenkuppe. Oper Orthop Traumatol 1992; 4: 195-202
19 Foucher G, Braun JB. A new island flap transfer from the dorsum of the index to the thumb. Plast Reconstr Surg 1979; 63: 344-349
20 Tränkle M, Germann G, Heitmann C. et al. [Defect coverage and reconstruction of thumb sensibility with the first dorsal metacarpal artery flap]. Chirurg 2004; 75: 996-1002
21 Tränkle M, Sauerbier M, Heitmann C. et al. Restoration of thumb sensibility with the innervated first dorsal metacarpal artery island flap. J Hand Surg Am 2003; 28: 758-766
22 Gregory H, Heitmann C, Germann G. The evolution and refinements of the distally based dorsal metacarpal artery (DMCA) flaps. J Plast Reconstr Aesthet Surg 2007; 60: 731-739
23 Adani R, Squarzina PB, Castagnetti C. et al. A comparative study of the heterodigital neurovascular island flap in thumb reconstruction, with and without nerve reconnection. J Hand Surg Br 1994; 19: 552-559
24 Oka Y. Sensory function of the neurovascular island flap in thumb reconstruction: comparison of original and modified procedures. J Hand Surg Am 2000; 25: 637-643
25 Germann G, Raff T, Schepler H. et al. Salvage of an avascular thumb by arteriovenous flow reversal and a microvascular "kite" flap: case report. J Reconstr Microsurg 1997; 13: 291-295
26 Pelzer M, Sauerbier M, Germann G. et al. Free "kite" flap: a new flap for reconstruction of small hand defects. J Reconstr Microsurg 2004; 20: 367-372
27 Littler JW. The neurovascular pedicle method of digital transposition for reconstruction of the thumb. Plast Reconstr Surg (1946) 1953; 12: 303-319
28 Adani R, Pancaldi G, Castagnetti C. et al. Neurovascular island flap by the disconnecting-reconnecting technique. J Hand Surg Br 1990; 15: 62-65
29 Foucher G, Braun FM, Merle M. et al. La technique du “débranchement-rebranchement” du lambeau en îlot pédiculé. Ann Chir 1981; 35: 303
30 Xarchas KC, Tilkeridis KE, Pelekas SI. et al. Littler's flap revisited: an anatomic study, literature review, and clinical experience in the reconstruction of large thumb-pulp defects. Med Sci Monit 2008; 14: Cr568-Cr573
31 Brunelli F. Dorso-ulnar thumb flap. Ann Chir Main Memb Super 1993; 12: 105-114
32 Hrabowski M, Kloeters O, Germann G. Reverse homodigital dorsoradial flap for thumb soft tissue reconstruction: surgical technique. J Hand Surg Am 2010; 35: 659-662