title: Restoration of thumb sensibility with innervated reverse homodigital dorsoradial flap.
abstract: OBJECTIVE
  This study investigates the use of homodigital reverse dorsoradial flap with neurorrhaphy for thumb soft tissue defect.
  
  
  METHODS
  From 1996 to 2010, the homodigital dorsoradial flap was performed on seven adult patients and one 3-year-old boy. The flaps ranged from 1.2 to approximately 3.0 cm × 2.0 to approximately 4.2 cm in size. In six of the eight patients, the dorsal collateral branch of the radial nerve supplying the flap was also included in the pedicle and coapted to the proper digital nerves of the thumb. At final follow-ups, flap sensation, thumb motion, and donor-site morbidity were assessed.
  
  
  RESULTS
  All flaps survived completely. At final follow-up of 8.5 months (range, 3 to 14 months), all patients except the 3-year-old child (who could not express clearly) reported satisfactory sensory recovery, with the static two-point discrimination ranging between 6 and 12 mm (mean, 9.4 mm). Range of motion of the metacarpophalangeal and interphalangeal joints of the thumbs was also preserved with minimal donor-site morbidity in all cases.
  
  
  CONCLUSIONS
  Innervated reverse homodigital dorsoradial flap serves as a reliable and sensate flap for extensive thumb soft tissue reconstruction.
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Qi Yuan
authors.initials: QY
authors.lastname: Bao
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Cheng Wei
authors.initials: CW
authors.lastname: Xiao
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Peng
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Dong
authors.initials: D
authors.lastname: Han
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Wang
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Yu Dong
authors.initials: YD
authors.lastname: Gu
mesh_terms: D000328:Adult; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013933:Thumb / Q000293:injuries* / Q000294:innervation* / Q000502:physiology; D055815:Young Adult