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Related Experiment Video

Updated: Feb 2, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
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Extended Hueston Flap: New Solution for Primary Closure.

Tito Brambullo1, Erica Dalla Venezia1, Vincenzo Vindigni1

  • 1Clinic of Plastic Surgery, Department of Neuroscience, Padua University Hospital, University of Padua, Padua, Italy.

Journal of Hand and Microsurgery
|November 29, 2018
PubMed
Summary
This summary is machine-generated.

A modified Hueston flap, the radial extended flap, offers a solution for thumb tip reconstruction. This technique enables primary donor site closure, preventing scarring in critical functional areas.

Keywords:
fingertip injuryflapthumb amputation

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Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Thumb tip injuries are frequent in hand trauma.
  • Standard Hueston flap is simple but can cause donor site issues.
  • Scarring on functional areas can impair thumb use.

Observation:

  • A novel "radial extended" Hueston flap variant is presented.
  • This modification facilitates primary closure of the donor site.
  • The goal is to avoid scarring on frequently used contact areas.

Findings:

  • The radial extended Hueston flap was successfully applied in a case of distal thumb amputation.
  • The procedure resulted in good aesthetic outcomes.
  • Satisfactory functional recovery of the thumb was achieved.

Implications:

  • This flap variant provides an alternative for thumb tip reconstruction.
  • It minimizes donor site morbidity, especially scarring.
  • It preserves thumb function and aesthetics in reconstructive hand surgery.