Reconstruction of the Thumb by Free Skin Flap of the Big Toe

ABSTRACT

Experience with 12 cases of thumb reconstruction is reported, utilizing a free skin flap from the big toe and remodelled iliac bone graft, to create metacarpal and phalangeal configuration. Results show that the reconstructed thumbs have good functional recovery, cosmetic appearance, and varying degrees of sensation. The procedure preserves the big toe of the donor foot and produces minimal impairment.[1]

11 Editorial Note: This paper describes experience with 12 cases of thumb reconstruction that use essentially the same technique as that reported by W.A. Morrison, B. M. O'Brien, and A.M. MacLeod in 1980¹. As it adds experience with an additional 12 cases and was part of the original Chinese-French symposium, it is being published.