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PUBMED FOR HANDHELDS

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  • Title: [On-top plasty. Indications and technic in the reconstruction of severely injured hands].
    Author: Rico Aguado A, Nájera Tesseiner A, Rodríguez E, Moreno T.
    Journal: Handchir Mikrochir Plast Chir; 1983 Mar; 15(1):49-54. PubMed ID: 6852676.
    Abstract:
    UNLABELLED: The possibilities and advantages of the on-top plasty in the reconstruction of severely damaged hands are described. Based upon ten cases, a classification into four groups is made. In each of these groups different reconstructive procedures are applicable. Group 1: Intact thumb with loss of all fingers. PROCEDURE: Lengthening of the third metacarpal by on-top-plasty of the distal half of the second metacarpal. This simultaneously widens the first intermetacarpal space. Group 2: Partial amputation of the thumb with severe damage to several fingers. PROCEDURE: Thumb reconstruction by transposition of two phalanges of an otherwise useless finger. Group 3: Loss of the thumb and of two and a half fingers. PROCEDURE: Thumb reconstruction by transposition of the remaining basal phalanx. Group 4: Loss of the thumb and of three fingers. PROCEDURE: Thumb reconstruction by on top-plasty of the distal half of the metacarpals and rotational angulatory osteotomy of the fifth metacarpal.
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