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[Repair of thumb tip defect with thumb island flaps at ulnar side by V-Y advancement]
Xiao Zhou1, Yong-jun Rui, Ya-jun Xu
1Department of Hand Surgery, Wuxi Hand Surgery Hospital, Wuxi 214062, China.
Objective:
To investigate the method for treatment of thumb tip defect.
Methods:
The thumb tip defect was treated with thumb island flaps at ulnar side by V-Y advancement. The flap size ranged from 1.4 cm x 2.0 cm approximately 1.4 cmx 2.5 cm. The wounds at donor sites were covered by skin grafts.
Results:
From March 2007 to October 2009, 10 cases of thumb tip defects were treated. All the flaps and skin grafts were survived with primary healing. The patients were followed up for 6-18 months with both satisfactory functional and cosmetic results. The two-point discrimination was 5-6 mm at the thumb tip.
Conclusions:
The thumb tip defect can be successfully repaired with thumb island flaps at ulnar side by V-Y advancement.
