Pedicled (antegrade) SUPBRA flap - for wound cover on volar aspect of thumb

A dictum of reconstruction is to replace like with like. Therefore, glabrous skin is best replaced with like tissue from the palm or the soles of the feet. We have previously presented our experience with free tissue from the palm based on the superficial palmer branch of the radial artery to reconstruct defects on the volar aspect of the digits following the original description of this flap by Kamei et al. There are situations where an antegrade pedicled flap from this area lends well as a choice for reconstruction. We describe the use of a pedicled flap from this axis for a defect on the radial aspect of the thumb and we believe it is the first report of its kind.