[Contemporary possibilities of thumb reconstruction. II. microsurgical methods]

Microsurgery has revolutionised thumb reconstruction procedures, not only allowing addition of new structures, but also performing whole reconstruction during a single, one stage procedure. This paper presents only the fundamental techniques: toe transfers (great and second toe), the wrap--around technique, trimmed-toe transfer, twisted-two-toes, free vascular joint transfer. Indications, surgical techniques, results and complications are discussed.