V-Y ADVANCEMENT OF THE ENTIRE VOLAR SOFT-TISSUE OF THE THUMB IN DISTAL RECONSTRUCTION

The commonly used variant of Moberg's advancement flap for thumb recon struction requires a skin graft to reconstruct the proximal thumb defe ct after advancing the flap. A modification has been described previou sly which allows direct closure of this proximal defect by incorporati on of the V to Y principle into the design of the proximal part of the flap. A variant of the V-Y Moberg flap is presented and its advantage s discussed.