Elliot D, Wilson Y
North-East Thames Regional Plastic Surgery Unit, St. Andrew's Hospital, Billericay, Essex, UK.
J Hand Surg Br. 1993 Jun;18(3):399-402. doi: 10.1016/0266-7681(93)90073-o.
The commonly used variant of Moberg's advancement flap for thumb reconstruction requires a skin graft to reconstruct the proximal thumb defect after advancing the flap. A modification has been described previously which allows direct closure of this proximal defect by incorporation of the V to Y principle into the design of the proximal part of the flap. A variant of the V-Y Moberg flap is presented and its advantages discussed.