Neurosensible reconstruction of the thumb in an emergency situation: review of 107 cases

Tech Hand Up Extrem Surg. 2009 Jun;13(2):85-9. doi: 10.1097/BTH.0b013e3181940c42.


Coverage of a soft tissue defect of the thumb that cannot be replanted or without bone shortening is difficult to achieve, but it is essential to preserve key-pinch and to restore a sensible and painless pulp.We reviewed retrospectively 107 cases of thumb reconstruction in an emergency situation using the following flaps: Moberg, radial innervated cross-finger, Venkataswami-Subramanian, Foucher, Tezcan, and Littler.The choice of the flap was determined by the extension and location of the injury; Foucher flap (56 cases) was the most used one, and it proved to be the best choice as shown by the results. Nevertheless, Tezcan flap also proved to be a good alternative.

Publication types

  • Comparative Study

MeSH terms

  • Amputation, Traumatic / surgery*
  • Cohort Studies
  • Emergency Treatment
  • Esthetics
  • Female
  • Finger Injuries / diagnosis
  • Finger Injuries / surgery
  • Follow-Up Studies
  • Humans
  • Injury Severity Score
  • Male
  • Microcirculation
  • Microsurgery / methods
  • Plastic Surgery Procedures / methods*
  • Range of Motion, Articular / physiology
  • Recovery of Function
  • Retrospective Studies
  • Sensation
  • Sensory Thresholds
  • Surgical Flaps / blood supply*
  • Surgical Flaps / innervation*
  • Thumb / injuries
  • Thumb / innervation
  • Thumb / surgery*
  • Treatment Outcome
  • Wound Healing / physiology