Page 34 - Read Online

Van Hove et al. Plast Aesthet Res 2023;10:8 https://dx.doi.org/10.20517/2347-9264.2022.59 Page 11 of 14

[6]
Figure 12. Neurocutaneous flaps from the hallux or second toe can be planned to match complex digital defects (© Dr. Piñal 2020) .

Figure 13. Compound defect includes the skin, vascular and nervous loss of the dorso-radial aspect of the thumb, including the radial
[6]
digital nerve (© Dr. Piñal 2020) .
CONCLUSION
The thumb is crucial to hand function. Whether the surgeon reconstructs the most distal tip injury or
provides a complex reconstruction, the upgrade from the previous situation will be outstanding, and patient
satisfaction will be high. We covered the current state of thumb coverage but intentionally did not broach
the subject of more proximal amputations and devastating injuries, which are beyond the scope of this
article. All hand surgeons should be confident in providing adequate soft tissue coverage of the thumb.