DOUBLE NEUROVASCULAR ISLAND FLAP FOR THUMB RECONSTRUCTION

Amputations of the thumb occur commonly following industrial accidents. The other causes are road traffic accidents, assault and house-hold injuries. The ideal method of reconstruction of thumb has remained elusive to plastic surgeons. With various options attempted, explored and performed, thumb reconstruction is still an art to be perfected. In this case report we present the functional and aesthetic outcome of a single stage reconstruction of thumb treated with a new technique of double neurovascular island flaps. The reconstructed thumb had adequate length, strength, stability, sensation, good functional outcome and reasonable aesthetic appearance. The donor site settled well with no functional deficit, excepting contour deformity. This procedure offers an another alternative safe option for thumb reconstruction.