[Hueston's flap for reconstruction of loss of distal thumb substance]

The classical rotation flap described by J. Hueston involves the advancement of a denervated skin area on the distal stump. In distal amputations of the thumb, this flap should only be used on the lateral side in order to avoid creating a blind medial pulp. Furthermore, this leaves a proximal skin defect thereby exposing the neurovascular bundles. This secondary defect is best covered by a lateral triangular rotation flap.