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Journal of Bone and Joint Surgery, 1962;44:1069-1072.
© 1962 by The Journal of Bone and Joint Surgery, Inc

Neurovascular Island Pedicle—Extension in Usage

William H. Frackelton M.D.1 and Jack L. Teasley M.D.1

1 Department of Plastic Surgery, Marquette University Medical School, Milwaukee

1. With traumatic loss of the terminal volar pad of a thumb or index digit, the neurovascular island pedicle can serve as an immediate or secondary replacement in preference to a free graft or cross-finger pedicle.

2. A thumb reconstruction with pedicle covering alone has disadvantages of non-critical sensation and susceptibility to ulceration. Improved functional results are obtained when critical sensation and durability are secured by a neurovascular island flap. This supplemental measure sanctions the reconstruction of a thumb by pedicle and bone-graft procedures.


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