Thumb Carpometacarpal Dislocation and Open Dorsal Metacarpophalangeal Instability: A Variation of the Floating Thumb

that of the population at large, so these patients should not be deprived of the benefits of restorative surgery [5]. In conclusion, this case shows that a microvascular operation with a radial forearm free flap was performed to reconstruct the cheek of a patient suffering from psychosis. If postoperative flap-related complications were to have appeared in the present case, it could have been difficult to manage the problems, considering that the patient’s mental state was unstable. Therefore, the authors chose a radial forearm free flap over any type of perforator flap. Despite the psychiatric problems of the patient, the aesthetic and functional outcome was relatively successful. The authors recommend that active microsurgical restoration could be successfully performed using a multidisciplinary approach with psychiatrists to reconstruct posttraumatic facial defects in severely psychotic patients. It should be noted that surgical and psychiatric followup arrangements must be carefully planned before discharge.