A Successful Non-microsurgical Thumb Reconstruction by Using the Skeletonized Amputated Phalanges, After a Failed Trial of Microsurgical Replantation: A Case Report.

We present a case of thumb reconstruction free of microsurgical technique or free tissue transfer producing satisfactory function. The patient who underwent reconstruction is a 40-year-old right-handed male mechanic, medically free, non-smoker. After unsuccessful microsurgical replantation of the amputated thumb, we elected to pursue regional reconstruction options using a reverse radial forearm flap and the skeletonized phalanges obtained from the amputated thumb as a bony scaffold.