[Reconstruction of distal segment defect of thumb with reverse dorsal radial flap].
OBJECTIVE
To introduce the application of reverse dorsal radial flap in reconstruction of distal segment defect of thumb.


METHODS
From January 2004 to June 2007, 24 cases of soft tissue defect with exposed bone or tendon at the distal segment of thumb were involved. The flap size ranged from 2 cm x 2 cm to 3 cm x 4 cm.


RESULTS
Venous congestion happened in 3 cases with one case of partial necrosis at the distal end of the flap. All the other flaps survived completely. The follow-up period was 6 - 24 months. The appearance and function of the thumbs were satisfactory. The 2-point discrimination was 7 - 11 mm (mean 9.3 mm).


CONCLUSIONS
Reverse dorsal radial flap is a good option for reconstruction of distal segment defect of thumb.
Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
Chao
C
Yang
Chuan
C
Lü
Jiang-Ping
JP
Chen
Jian-Xing
JX
Song
Xin
X
Xing
D000328:Adult; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016038:Skin Transplantation / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply; D013933:Thumb / Q000293:injuries; D055815:Young Adult