Download PDF
J Reconstr Microsurg 1991; 7(2): 113-117
DOI: 10.1055/s-2007-1006770
ORIGINAL ARTICLE

© 1991 by Thieme Medical Publishers, Inc.

One-Stage Reconstruction for Amputated Thumbs with Melanoma

Isao Koshima, Takahiko Moriguchi, Shugo Soeda
  • Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan
Further Information

Publication History

Accepted for publication 1990

Publication Date:
08 March 2008 (online)

Also available at
    Permissions and Reprints

ABSTRACT

The reconstruction of amputated thumbs is difficult because of a poor prognosis, and the varying length and volume of the lost thumbs. Two patients underwent reconstruction of amputated thumbs in one stage with the use of a modified wrap-around flap procedure. An onychocutaneous flap from the big toe is suitable for partial defects, including the nail of the distal phalanx. A combined dorsalis pedis flap and wrap-around flap is also superior for total thumb reconstruction after amputation at the metacarpal phalanx involving the thenar region.