IMMEDIATE RECONSTRUCTION OF THUMB USING THE AMPUTATED SKELETON WITH TUBED PEDICLE FLAP

This study reports four cases of crushavulsion injury to the thumb at different levels presented at our Plastic and Reconstructive surgery Department . All of the patients were male with injuries to the thumb with non-replantable amputations. Distal phalanx or proximal phalanx, or both, were used as a free cortical bone graft. The amputated part was skeletonized without the periosteum attached to the cortical bone of the phalanx fixing it to the stump and covering it by tubed pedicle flap and neurovascular island sensate flap. The results were functionally and cosmetically good .