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Distal Thumb Reconstruction Using a Mini Wrap-Around Flap from the Great Toe

From the Department of Orthopaedic Surgery, University of Modena, Modena, Italy

Correspondence: R. Adani MD, Department of Orthopaedics, University of Modena, Policlinico di Modena, Largo Del Pozzo 71, 41100 Modena, Italy.

We have used a great toe mini wrap-around flap for reconstruction of the thumb at, or distal to, the interphalangeal joint. Our series included 12 patients with traumatic amputations. A flap including the entire nail and most of the distal phalanx of the great toe was used. Eleven of the grafts survived. Sensibility was good with an average of 10 mm static two-point discrimination (range, 5–15) and there were no complaints of cold intolerance. All patients were pleased with the appearance of the thumb and there was no significant morbidity at the great toe donor site. The great toe mini wrap-around flap is an excellent reconstruction technique for selected patients with distal thumb amputations.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 4, 437-442 (1999)
DOI: 10.1054/JHSB.1999.0161


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