Single stage thumb reconstruction by a composite forearm island flap.
Single stage thumb reconstruction is possible with a new composite skin bone flap from the forearm. The primary vascularisation of skin and bone avoids the disadvantages of the conventional multi-staged procedures such as neurovascular insufficiency, infection and bone absorption. It does not require a surgical team with microsurgical expertise. The best indication is the reconstruction in the subtotal thumb amputation.
D000328:Adult; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D009048:Motor Skills; D011183:Postoperative Complications / Q000601:surgery; D012092:Replantation / Q000379:methods*; D013524:Surgical Flaps; D013933:Thumb / Q000293:injuries*; D014945:Wound Healing