The bilobed flap: a new application in the reconstruction of congenital thumb deviation

J Hand Surg Br. 2000 Jun;25(3):262-5. doi: 10.1054/jhsb.2000.0377.


Congenital radial angulation deformity of the thumb in Rubinstein-Taybi syndrome is generally corrected by a wedge osteotomy of the delta phalanx and a redistribution of the overlying skin using a Z-plasty or, rarely, skin grafting. We describe a new application of the bilobed flap in the reconstruction of the thumb and discuss its advantages over traditional methods in providing tension-free skin cover, excellent access to the delta phalanx and aesthetically acceptable scars.

MeSH terms

  • Child
  • Hand Deformities, Congenital / surgery*
  • Humans
  • Plastic Surgery Procedures*
  • Surgical Flaps*
  • Thumb / abnormalities*
  • Thumb / surgery*