Abstract

Objective To classify complex defects of the thumb and fingers and devise conformable reconstructive strategies.Methods Seven hundred and eleven cases of the thumb and finger defects that were treated from December 1989 to December 2009 were involved in the study.These defects were classified as type A or type B according to the accompanying soft tissue defect.Each type was further divided into subtypes Ⅰ to Ⅴ based on the degree of finger defect.Surgical procedures for all these cases were analyzed and summarized.Results There were relatively fixed procedures for treating these complex thumb and finger defects.Good function and appearance of the hand were obtained by these procedures.Conclusion Application of corresponding surgical procedures according to defect classification can standardize the treatment of complex defect of the thumb and fingers and lead to satisfactory results. Key words: Finger injuries; Tissue transplantation; Treatment outcome; Classification

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