Abstract
Traumatic tissue loss of pulp on the first finger, represents a common problem which requires serious reconstructive operations. The final cosmetic appearance and the sensorial sufficiency for an optimum thumb function are important limitations of wound closure during the thumb reconstruction. Generally, these defects are closed by regional flaps as: Palmar advancement flap (Moberg), cross finger flap, neurovascular island flap (Littler) and the first dorsal metacarpal artery flap (Kite) (1,2).
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