The bilobed flap: a new application in the reconstruction of congenital thumb deviation.
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.
Cerqueiro-Mosquera
J
J
Department of Plastic Surgery, Great Ormond Street Hospital for Sick Children, London, UK.
Fleming
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AN
D002648:Child; D006228:Hand Deformities, Congenital / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D013933:Thumb / Q000002:abnormalities* / Q000601:surgery*