A comparative study between different types of local flaps used for soft tissue reconstruction of volar thumb defect

Abstract

Management of soft tissue defects of the thumb finger represents challenge for plastic surgeons regarding techniques, cosmetic and functional results.

AIM OF STUDY: The present study was conducted to evaluate a comparison between three types of local flaps used for reconstructing soft tissue defects of the Volar aspect of the thumb, volar palmar advancement flap, heterodigital neurovascular island flap and first dorsal metacarpal artery flap.

METHODS: 34 cases of soft tissue defects of the volar thumb finger were included in the study, divided into three groups, in each group a flap was used for reconstruction of soft tissue defects of the volar thumb.

RESULTS: volar palmar advancement flap is performed with no donor site morbidity, is good in terms of sensation and cosmetic results, should not be used for defects more than 1.5 cm, heterodigital neurovascular flap is excelle