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J Hand Microsurg 2018; 10(03): 155-157
DOI: 10.1055/s-0038-1636833
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Extended Hueston Flap: New Solution for Primary Closure

Tito Brambullo
1   Clinic of Plastic Surgery, Department of Neuroscience, Padua University Hospital, University of Padua, Padua, Italy
,
Erica Dalla Venezia
1   Clinic of Plastic Surgery, Department of Neuroscience, Padua University Hospital, University of Padua, Padua, Italy
,
Vincenzo Vindigni
1   Clinic of Plastic Surgery, Department of Neuroscience, Padua University Hospital, University of Padua, Padua, Italy
,
Franco Bassetto
1   Clinic of Plastic Surgery, Department of Neuroscience, Padua University Hospital, University of Padua, Padua, Italy
› Author Affiliations Funding None.
Further Information

Publication History

Received: 02 January 2018

Accepted after revision: 20 January 2018

Publication Date:
20 March 2018 (online)

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Abstract

Thumb tip injuries are very common in hand trauma, and several flaps are available to restore the defect. One of them is the Hueston flap. It is very simple and quick to harvest, but it could lead to donor site problems. The variant “radial extended” of this flap, proposed in this article, allows a primary closure of donor site avoiding making scar on contact areas subject to frequent use. We performed this technique in a clinical case that presented a distal thumb amputation with good aesthetic result and satisfactory function.

Keywords

fingertip injury - flap - thumb amputation