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The Bilobed Flap: A New Application in the Reconstruction of Congenital Thumb Deviation

From the Department of Plastic Surgery, Great Ormond Street Hospital for Sick Children, London, UK

Correspondence: A. N. M. Fleming, Dept of Plastic Surgery, Great Ormond Street Hospital for Sick Children; London WC1N 3JH, UK. E-mail: anmfleming{at}hotmail.com

Congenital radial angulation deformity of the thumb in Rubinstein-Taybi syndrome is generally corrected by a wedge osteotomy of the delta phalanx and a redistribution of the overlying skin using a Z-plasty or, rarely, skin grafting. We describe a new application of the bilobed flap in the reconstruction of the thumb and discuss its advantages over traditional methods in providing tension-free skin cover, excellent access to the delta phalanx and aesthetically acceptable scars.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 3, 262-265 (2000)
DOI: 10.1054/jhsb.2000.0377


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