title: Reconstruction of the transverse and dorsal-oblique amputations of the distal thumb with volar cross-finger flap using the index finger.
abstract: We performed a retrospective review of 12 patients with dorsal oblique and transverse amputations of the distal thumb who were treated with a volar cross-finger flap from the index finger. The mean patient follow-up period was 28 months postoperatively (range: 19-43 months). There were no instances of flap loss, infection, or donor site complication in our series. The mean Semmes-Weinstein monofilament testing scores on the injured thumb and the donor site were 0.65 g (range: 0.16-2 g) and 0.51 g (range: 0.16-1 g), respectively. The mean 2-point discrimination testing scores on the injured thumb and the donor site were 4.5 mm (range: 3-8 mm) and 4.3 mm (range: 3-7 mm), respectively. This study suggests that the volar cross-finger flap using the index finger is a reliable technique in repairing dorsal oblique and transverse amputations of the distal thumb.
  
  
  METHODS
  Therapeutic IV.
authors.affiliation: Department of Orthopaedic Surgery, Anadolu Medical Center, Kocaeli, Turkey yenererken@yahoo.com.
authors.forename: H Y
authors.initials: HY
authors.lastname: Erken
authors.affiliation: Department of Orthopaedic Surgery, Anadolu Medical Center, Kocaeli, Turkey.
authors.forename: I
authors.initials: I
authors.lastname: Akmaz
authors.affiliation: Department of Orthopaedic Surgery, Academic Hospital, Istanbul, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Takka
authors.affiliation: Department of Orthopaedic Surgery, Anadolu Medical Center, Kocaeli, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Kiral
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps; D013933:Thumb / Q000601:surgery*; D055815:Young Adult
keywords: Dorsal-oblique; thumb amputations; transverse; volar cross-finger flap