THENAR FLAP REHABILITATED - A REVIEW OF 20 CASES

The thenar flap is a satisfactory reconstruction technique for the tre atment of extensive loss of the distal phalanx of the index and middle fingers. As we observed in this series of 20 patients, this flap is r eliable and provides tissue that closely matches the missing finger pu lp. Flap sensibility is good (average Weber of 6.5 mm). Transferring a distally based flap prevents proximal interphalangeal joint contractu re and allows the surgeon to better reconstruct the outlines of the di stal phalanx, thereby reducing the risk of a clawed nail, Finally, we did not observe major postoperative complications at the donor site.