Abstract
Amputations of the thumb occur commonly following industrial accidents, road trafc accidents, after assault and less frequently in house-hold injuries.The ideal method of reconstruction of thumb has remained elusive to plastic surgeons. With various options attempted, explored and performed, thumb reconstruction is still an art to be perfected. In this case report we present the functional and aesthetic outcome of single stage reconstruction of thumb treated with double neurovascular island aps, which can be used in specic situations. We report a case of single stage reconstruction of thumb by a new technique of using double neurovascular island aps.The reconstructed thumb had adequate length, sensation, good functional outcome and reasonable aesthetic appearance. The donor site settled well with no functional decit, excepting contour deformity. This procedure offers an another alternative safe option for thumb reconstruction.
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