Concluded Case

Thumb defect

18 yr young male, sustained traumatic (printing machine) injury of dominant hand, Rt thumb. Xray shows chip fracture of distal phalanx. Further management?

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Concluded answer

Being a thumb defect, we did a neurovascular sensate flap k/a Littler's flap to cover the defect

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Being a thumb defect, we did a neurovascular sensate flap k/a Littler's flap to cover the defect

There appear to be tissue loss Flap reconstruction an option

Cross finger flap could be tried or pectoral flap ..or debride the distal part followed by coverage

Only k were fixation and rotational skingraft