[Restoration of opponens function with transplantation of free composites dorsal pedal skin flap containing m. extensor hallucis brevis].
Since 1983, we have used free dorsal pedal flaps with m. extensor hallucis brevis for two patients with serious thenar defects to restore their thumb function. The results were satisfactory, as most of oponens function was restored, however the power of the thumbs was inadequate. Functional restoration of the thumb after the loss of thenar muscles involves many aspects of microsurgery. This article discusses only the dissection of the muscle, the orientation of transferred muscle, etc.
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D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D013524:Surgical Flaps; D013933:Thumb / Q000293:injuries* / Q000601:surgery*