Resurfacing the Degloved Thumb Up to the Interphalangeal Joint Level with Twin Extended Neurovascular Island Flaps

Abstract

We report a method of resurfacing the degloved thumb from the base of the thumb up to the interphalangeal joint level using two neurovascular island flaps from the adjacent sides of the long and the ring fingers, nourished by the third common neurovascular pedicle. This twin flap was used successfully in seven patients. The reconstruction gave adequate static two-point discrimination of 10 mm at 6 weeks without complaints of neuroma pain, painful scars or cold intolerance.