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Updated: Sep 20, 2025

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Serratus Anterior-rib Composite Flap Partial Thumb Reconstruction
Kyle Y Xu1, Hassan A Qureshi2, Kashyap Komarraju Tadisina2
1Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, Fla.
Abstract:
The serratus anterior-rib composite flap is a well described and versatile flap used for reconstruction in a variety of anatomical regions. However, reconstruction of a thumb defect using this flap has not been well described since first mentioned in the literature by the Buncke et al group 20 years ago. The authors describe the use of this technique for thumb reconstruction in a complex defect from a gunshot wound.
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