Thumb reconstruction using free flap transfer

The authors present a choice of thumb reconstruction method using free transfer of sensitive radial artery flap together with autologous bone graft implantation in a single-time operation. They regard this approach as more advantageous than the standard tubed flap techniques. The advantages are the following: 1. single-time operation, 2. flap tissue sensitivity, and 3. satisfactory shape of the reconstructed thumb, requiring no subsequent modellation. Photographs show the surgical procedure and three other casuistics.