J Reconstr Microsurg 2014; 30(05): 363-366
DOI: 10.1055/s-0033-1363327
Letter to the Editor: Short Reports
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Innervated Thenar Pedicle Flap with the Palmar Cutaneous Branch of the Median Nerve for Treating a Thumb Pulp Defect: A Case Report

Kohei Kanaya
1  Department of Orthopedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan
,
Takuro Wada
1  Department of Orthopedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan
,
Kosuke Iba
1  Department of Orthopedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan
,
Toshihiko Yamashita
1  Department of Orthopedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan
› Author Affiliations
Further Information

Publication History

30 September 2013

02 November 2013

Publication Date:
07 January 2014 (online)

Abstract

A 51-year-old male plumber with a thumb pulp defect was treated with a reversed innervated thenar pedicle flap. The flap was based on the radial digital artery originating from the princeps pollicis artery with the palmar cutaneous branch of the median nerve. The flap survived and achieved good innervation with a moving 2-point discrimination of 6 mm at 12 months after surgery. This flap is indicated for patients who hesitate to have tissue taken from the foot. We believe that this flap is a feasible option for reconstructing thumb pulp defects.