Salvage of Thumb With a Free Skin Flap From the Great Toe

Xingchen Li, BA; Stephen Viviano, MD; Ramazi Datiashvili, MD, PhD


ePlasty. 2018;18(ic15) 

In This Article


The patient was a 52-year-old man who suffered an avulsion amputation injury to his left thumb. Examination revealed a left thumb distal tip amputation and a 7×3-cm open wound over the entire pulp and half of the proximal phalanx (Figure 1).

Figure 1.

(a) Left thumb distal tip avulsion amputation with an extended full-thickness volar skin loss. (b) Intraoperative markings showing the lazy S-incision over the dorsalis pedis artery and the templated area of harvest. (c) Intraoperative view of the raised lateral toe flap with intact pedicle. (d) View of the left thumb 5 weeks after reconstruction.