ABSTRACT
A one-stage procedure for reconstructing the thumb was used in 10 patients, using
previously frozen bone-joint-tendon composite allograft and a neurovascular free skin
flap from the foot. Levels of injury ranged from the greater multangular bone to the
middle of the first phalanx. Postoperative bony absorption and joint degeneration
were minimized, and no cases of tissue rejection were encountered. Further advantages
of the procedure are that subsequent nerve regeneration and cutaneous sensibility
are improved, and that there are better functional and aesthetic results, compared
to other techniques. Using this procedure, donor site dysfunction is also minimal.
