[Forum: reconstruction of the traumatised thumb. Covering losses of cutaneous substance of the thumb].

The authors proposed their preferential indications to repair cutaneous loss of the thumb. The choice of the flap depend on localisation: to repair a frontal amputation, a triangular volar flap (Atazoy) performed, to repair a tangential distal amputation, a neurovascular island flap (O'Brien-Moberg) was used. To repair a tangential palmar amputation, a flap with advancement and rotation (Hueston) was performed--Free toe to finger tip neurovascular flap was necessary to restore sensation after complete avulsion of pulp. The island kite flap transfer from the dorsum of the index to the thumb (Foucher) was used to repair loss of dorsal and palmar side of the first phalanx. For tangential dorsal amputation, cross finger and free toe to thumb "custom-made" transfer were possible. The authors explained why they preferred these flaps.