Neurovascular Island Flap for Pulp and Nail Augmentation in Hypoplastic Thumb Duplication Reconstruction

Composite osteocutaneous groin flap combined with neurovascular island flap for thumb reconstruction.

Three amputated thumbs were reconstructed with a composite osteocutaneous groin flap and a neurovascular island flap. The average age at the time of surgery was 28 (range 25-35) years. The level of the amputation was distal to metacarpophalangeal joint in two cases and proximal in one case. The injury mechanism was avulsion in all cases. The postoperative follow-up periods ranged from 27 to 30 ...

The neurovascular island flap for defective sensibility of the thumb.

In six patients with defective sensibility of the thumb the transfer of a neurovascular island flap was performed according to Littler's technique. This review one to eleven years later was mainly to determine if reorientation of the cortical representation of stimuli had developed and if tactile gnosis had persisted. The pick-up test was carried through by the three patients with a lesion of t...

Outcome of Thumb Reconstruction Using the First Dorsal Metacarpal Artery Island Flap

BACKGROUND  Reconstruction of complex soft tissue defects of the thumb, with exposure of tendons, joints or bones, has always been a difficult task. We evaluated the functional and esthetic outcomes of 1st dorsal metacarpal artery island flap in reconstruction of post-traumatic soft tissue defects of the thumb. METHODS Between January 2012 and June 2014, fifteen patients with co...

Thumb Reconstruction Using Foucher’s Flap

BACKGROUND Extensive pulp defects of the thumb, with the exposure of tendon or bone, are challenging reconstructive problems. Surgical treatment includes the use of local, regional, and free flaps. AIM This paper is focused in Foucher's neuro vascular flap. First DMCA or Foucher's pedicle flap is a successful thumb reconstruction method, especially in patients not disturbed by its cosmetic ap...

subcutaneous forehead island flap for nasal reconstruction