title: Regional first web flap used to cover the amputated stump of the thumb.
abstract: The regional first web flap is a distally-based flap that is raised from the radiodorsal aspect of the metacarpophalangeal joint of the index finger towards the dorsal first web, and used to cover a thumb amputation. The advantage of this flap over the conventional cross-finger flap is that is gives a thicker and hairless flap with no skin graft to the donor site. Mobilisation of the joints, including the metacarpophalangeal joint of the index finger, can also be maintained during the immobilisation period between two stages.
authors.affiliation: Department of Orthopaedic Surgery, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan. prssano@nifty.com
authors.forename: Kazufumi
authors.initials: K
authors.lastname: Sano
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Kimura
authors.forename: Satoru
authors.initials: S
authors.lastname: Ozeki
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D005383:Finger Injuries / Q000175:diagnosis / Q000601:surgery; D005500:Follow-Up Studies; D006085:Graft Survival; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular / Q000502:physiology*; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*; D013933:Thumb / Q000293:injuries* / Q000601:surgery; D014945:Wound Healing / Q000502:physiology