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  • Title: One-stage reconstruction for amputated thumbs with melanoma.
    Author: Koshima I, Moriguchi T, Soeda S.
    Journal: J Reconstr Microsurg; 1991 Apr; 7(2):113-7; discussion 119. PubMed ID: 2051433.
    Abstract:
    The reconstruction of amputated thumbs is difficult because of a poor prognosis, and the varying length and volume of the lost thumbs. Two patients underwent reconstruction of amputated thumbs in one stage with the use of a modified wrap-around flap procedure. An onychocutaneous flap from the big toe is suitable for partial defects, including the nail of the distal phalanx. A combined dorsalis pedis flap and wrap-around flap is also superior for total thumb reconstruction after amputation at the metacarpal phalanx involving the thenar region.
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