title: Thumb reconstruction with a free neurovascular wrap-around flap from the big toe.
abstract: Thumb reconstruction requires accurate functional and esthetic approximation to the original. Accepted methods generally have some deficiencies, particularly in appearance, and frequently the secondary morbidity is unacceptable. A method of thumb reconstruction with the use of an iliac crest bone graft and a free neurovascular "wrap-around" flap from the big toe is described that combines the attributes of previous methods without their secondary morbidity.
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D016025:Bone Transplantation; D005260:Female; D006801:Humans; D008297:Male; D013524:Surgical Flaps; D013933:Thumb / Q000293:injuries / Q000601:surgery*; D014034:Toes / Q000601:surgery*; D014182:Transplantation, Autologous