Alphonsus Chong's Personal Wiki

1. prefer ring if using non-traumatized digit: web not too wide, tendon tension
2. different ways to deal with webspace
3. any finger possible - little finger least preferred
4. traumatic first

1. Mechanical
   1. strategic position
   2. length
   3. strength
   4. stability
2. physiologic
   1. motion
   2. sensation
   3. no pain
   4. integration
3. appearance

1. skin - dorsal straight, triangular flaps at base
2. tendons - EHB for dorsalis pedis, sacrifice superficialis
3. vessels
   1. long
   2. take plantar arch
   3. work both ends till middle
   4. t-for arch recon
   5. both dorsal and plantar
   6. look for 2nd dorsal metatarsal (25%)
4. veins: superficial, to saphenous, VC
5. nerve - may be disproportionate
6. joint - fix in hyperextension
7. order - bone, tendons, nerve, skin distal, vessels

- Allieu, Chammas, Luc Roux - Chapter 5 - in Foucher, G. (1997). Reconstructive surgery in hand mutilation. Martin Dunitz.

• Pollicization