Eur J Plast Surg (2007) 29:331–334 DOI 10.1007/s00238-006-0099-1 CASE REPORT Reconstruction of the thumb with a modified wrap-around flap in a patient with β-thalassemia minor M. Galeano & G. Checcucci & M. Ceruso Received: 4 May 2005 /Accepted: 21 November 2006 / Published online: 14 February 2007 Springer-Verlag 2007 . . Keywords β-thalassemia Thumb reconstruction amputation at the level of the proximal phalanx of the Wrap-around flap Microsurgery thumb and through the distal interphalangeal joint of the index finger (Fig. 1). History taken from the patient revealed that he suffered from β-thalassemia minor. In Introduction accordance with the level of amputation (IIA), it was decided to perform a modified wrap-around free flap from Thalassemia is a hereditary anemia resulting from defects in the left great toe to reconstruct the missing thumb. The hemoglobin production. β-thalassemiaiscausedbya preoperative laboratory tests showed an increase of HbA, decrease in the production of β-globin chains. Recently, it consistent with the diagnosis of β-thalassemia minor, and has been seen that thalassemic patients have a higher-than- absence of anomalous Hbs, while routine coagulation tests normal incidence of thromboembolic events, including were normal (prothrombin time, partial thromboplastin recurrent and transient ischemic cerebral attacks, strokes, time, international normalized
European Journal of Plastic Surgery – Springer Journals
Published: Apr 1, 2007
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