Surgical Technique: Lambouri Locale la Mână Utilizate în Reconstrucția Defectelor de Police–Tehnica Lamboului Littler
- *Corresponding Author:
- Mihaela Perțea MD
Department of Plastic and Reconstructive Surgery
“St. Spiridon Hospital”, Iași
Independenței Street No 1, 700111, Iași, Romania
Tel: +40 (0) 232 24 08 22
E-mail: [email protected]
Received date: November 28, 2013; Accepted date: December 30, 2013; Published date: May 09, 2014
Citation: Mihaela P and Lunca S (2014) Surgical Technique: Lambouri Locale la Mână Utilizate în Reconstrucția Defectelor de Police–Tehnica Lamboului Littler. Journal of Surgery [Jurnalul de Chirurgie] 10:22:93-96 doi: 10.7438/1584-9341-10-1-22
Copyright: © 2014 Mihaela P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
The thumb accounts for almost 50% of hand function, the pulp having a major role in ensuring it. Pulp injuries lead to marked disability, so preserve length, position, mobility, sensitivity thumb are just some of the goals that must be met for the techniques used in reconstruction of the thumb and its pulp. To rebuild the thumb pulp, Littler describes the technique that bears his name in 1953, using a neurovascular flap harvested from the cubital board of the third finger. Immediately after describing it, his technique proved to be successful as it brings the thumb pulp a sensitive tissue. As time has proved Littler flap attached advantages and some disadvantages. These have been linked mainly to the difficult and often incomplete cortical integration of the new pulp and donor site morbidity. The purpose of this article is to bring to attention the technique that should be considered whenever we face a thumb trauma with loss of the pulp region and exposure of the underlying structures.