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Journal of Bone and Joint Surgery, 1973;55:563-569.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Thumb Reconstruction Using Radial-Innervated Cross-Finger Pedicle Graft

TAKAYUKI MIURA M.D.1

1 Department of Orthopaedic Surgery, Branch Hospital, Nagoya University School of Medicine, Nagoya

Four cases of amputation of the entire thumb near or at the metacarpophalangeal joint were successfully treated by a new method designed to retain good sensory innervation. A block of the median nerve allows the surgeon to evaluate the radial innervation to the prospective flap. A three-stage transfer of an abdominal pedicle containing iliac bone is then accomplished and the radially innervated skin flap is used on the hand to provide sensation.


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