Abstract
We present a case report of a free thenar flap surgery done for a volar right hand middle finger, distal and middle phalanx degloving injury. A free thenar flap is a fasciocutaneous sensate flap supplied by a constant branch of the superficial radial artery and its variable nerve supply. It has a distinct advantage of low donor site morbidity, better cosmesis and texture of the flap. No immobilization is required postop. The donor site can be closed primiarily.
Highlights
Numerous local or regional flaps have been used to cover medium to small size volar soft tissue defects of the digit
A 36 year old man sustained a degloving injury to his right, middle finger resulting in a large volar soft tissue defect extending from the tip of the distal phalanx to the mid portion of the middle phalanx
Free thenar flap was first used by Kamei [1] in 1993 and later by Tamai [2] in 1996
Summary
Numerous local or regional flaps have been used to cover medium to small size volar soft tissue defects of the digit. Free flaps from the feet or toes have been used to provide satisfactory coverage of these large defects, donor site morbidity is unavoidable and the patient's acceptance is questionable. We would like to report an alternative method to resurface a large volar defect of the finger utilizing a free thenar flap.
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