eMedicine Specialties > Orthopedic Surgery > Hand & Upper Extremity
Thumb Reconstruction: Multimedia
Updated: Feb 15, 2010
Multimedia
![]() | Media file 1: Diagram of a Moberg volar advancement flap being used for a thumb tip defect. |
![]() | Media file 2: Marking for the radial incision of a Moberg flap. |
![]() | Media file 3: Moberg flap raised just above the level of the flexor pollicis longus tendon sheath. |
![]() | Media file 4: Markings for a volar advancement flap with modification of the incision at the base to allow closure in V-Y fashion after distal phalanx shortening. |
![]() | Media file 5: Radial view of the markings for a volar advancement flap with modification of the incision at the base to allow closure in V-Y fashion after distal phalanx shortening. |
![]() | Media file 6: Volar advancement flap with modification of the incision at the base to allow closure in V-Y fashion after distal phalanx shortening. |
![]() | Media file 7: Thumb tip defect that is amenable to closure with a Moberg volar advancement flap. |
![]() | Media file 8: Incision marking for a Moberg flap. The neurovascular bundle should be kept with the volar advancement flap. |
![]() | Media file 9: Bridging vessel to the neurovascular bundle on a volar flap. |
![]() | Media file 10: Flexion at the interphalangeal joint to allow closure. |
![]() | Media file 11: Volar view of the closure of a thumb defect with a Moberg volar advancement flap. |
![]() | Media file 12: Radial view of the closure of a thumb defect with a Moberg volar advancement flap. |
![]() | Media file 13: Diagram of a Littler neurovascular island flap for the coverage of a thumb tip defect. |
![]() | Media file 14: Intraoperative view of a Littler neurovascular island flap. |
![]() | Media file 15: Postoperative view of a Littler neurovascular island flap. |
![]() | Media file 16: Second postoperative view of a Littler neurovascular island flap. |
![]() | Media file 17: Markings for the pedicle of a first dorsal metacarpal artery flap. |
![]() | Media file 18: Dissection for a first dorsal metacarpal artery flap. |
![]() | Media file 19: Isolation of the pedicle for a first dorsal metacarpal artery flap. |
![]() | Media file 20: Postoperative appearance of a thumb tip after coverage with a first dorsal metacarpal artery flap. |
![]() | Media file 21: Second view of the postoperative appearance of a thumb after coverage with a first dorsal metacarpal artery flap. |
![]() | Media file 22: Free tissue transfer of great toe pulp to restore a volar thumb defect. |
![]() | Media file 23: Markings for a free tissue transfer of great toe pulp to restore a volar thumb defect. |
![]() | Media file 24: Postoperative view after a free tissue transfer of great toe pulp to restore a volar defect. |
![]() | Media file 25: Dorsal view of the clinical appearance of a Blauth type IV pouce flottant thumb. |
![]() | Media file 26: Volar view of the clinical appearance of a Blauth type IV pouce flottant thumb. |
![]() | Media file 27: Radiograph of a pouce flottant thumb |
![]() | Media file 28: Pollicized index finger for thumb reconstruction at 2 weeks after surgery. |
![]() | Media file 29: Functional use of a pollicized index finger at 8 weeks after surgery. |
More on Thumb Reconstruction |
| Overview: Thumb Reconstruction |
| Workup: Thumb Reconstruction |
| Treatment: Thumb Reconstruction |
| Follow-up: Thumb Reconstruction |
Multimedia: Thumb Reconstruction |
| References |
| Further Reading |
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References
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Further Reading
Related eMedicine topics
Fingers and Thumb, Trauma
Amputation, Fingertip
Digital Amputations
Hand, Amputations and Replantation
Keywords
thumb injury, hand injury, toe-to-thumb transfer, toe to thumb transfer, thumb replantation, thumb reconstruction, osteoplastic thumb reconstruction, Moberg flap, Littler neurovascular island flap, kite flap, dorsal metacarpal artery flap, microvascular toe transfer flap, wraparound flap, toe-to-hand transfer, toe to hand transfer, phalangization, pollicization, pouce flottant thumb, Blauth type IV, Blauth type 4, congenitally absent thumb, Blauth type V, Blauth type 5, thumb amputation, toe amputation


























































Multimedia: Thumb Reconstruction