[Treatment of the contracted thumb web space by means of an augmented transposition flap method]

The augmented transposition flap plasty consists of a Z-plasty, to which a triangular flap from the dorsal ulnar aspect of the thumb is added. Remaining skin defects have to be covered by thick split thickness skin grafts. This procedure has been successfully during the past five years for the release of congenital or posttraumatic first web contractures of moderate severity.