title: [Repair of thumb tip defect with thumb island flaps at ulnar side by V-Y advancement].
abstract: OBJECTIVE
  To investigate the method for treatment of thumb tip defect.
  
  
  METHODS
  The thumb tip defect was treated with thumb island flaps at ulnar side by V-Y advancement. The flap size ranged from 1.4 cm x 2.0 cm approximately 1.4 cmx 2.5 cm. The wounds at donor sites were covered by skin grafts.
  
  
  RESULTS
  From March 2007 to October 2009, 10 cases of thumb tip defects were treated. All the flaps and skin grafts were survived with primary healing. The patients were followed up for 6-18 months with both satisfactory functional and cosmetic results. The two-point discrimination was 5-6 mm at the thumb tip.
  
  
  CONCLUSIONS
  The thumb tip defect can be successfully repaired with thumb island flaps at ulnar side by V-Y advancement.
authors.affiliation: Department of Hand Surgery, Wuxi Hand Surgery Hospital, Wuxi 214062, China.
authors.forename: Xiao
authors.initials: X
authors.lastname: Zhou
authors.forename: Yong-jun
authors.initials: YJ
authors.lastname: Rui
authors.forename: Ya-jun
authors.initials: YJ
authors.lastname: Xu
authors.forename: Kui-shui
authors.initials: KS
authors.lastname: Shou
authors.forename: Qun
authors.initials: Q
authors.lastname: Yao
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016038:Skin Transplantation; D013524:Surgical Flaps; D013933:Thumb / Q000293:injuries* / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult