Neurovascular pedicle and advancement flaps for palmar thumb defects

Thumb injuries are potentially devastating for overall hand function. The aim of surgical reconstruction is to preserve length, restore normal sensibility, and provide an aesthetic, rounded thumb profile. The level and type of thumb injury are most important factors in determining the treatment options for thumb reconstruction. The technical expertise and decision-making skills of the surgeon are of equal significance. With correct management, the majority of patients with these injuries regain excellent functional results.