Related Experiment Video
Updated: Jul 24, 2025

10:36
Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
311
The free Thenar flap for thumb pulp reconstruction: A case report
Ryan Faderani1,2, Ahdam Mann3, Constantinos Kokkinos1
1Department of Plastic and Reconstructive Surgery, Royal Free NHS Foundation Trust Hospital, London, UK.
Microsurgery
|July 7, 2023
Summary
This study highlights the successful use of a free thenar flap for total thumb pulp reconstruction in a carpenter with a large defect. The procedure restored function, sensation, and appearance, enabling a rapid return to work.
Area of Science:
- Plastic Surgery
- Hand Surgery
- Reconstructive Surgery
Background:
- Thumb injuries significantly impair hand function, impacting quality of life.
- Reconstructing thumb pulp defects is challenging due to the digit's size and the need for glabrous skin.
- Existing reconstructive options, including pedicled and free flaps, lack a consensus on the optimal method.

