EXTENDED WRAP-AROUND FLAP FOR THUMB RECONSTRUCTION FOLLOWING RADICAL EXCISION OF A CONGENITAL ARTERIOVENOUS-FISTULA

A 38-year-old woman presented with a large congenital arteriovenous fi stular in her left hand with ischaemic atrophy of the thumb and index finger. Radical resection of the lesion and ray amputation of the inde x finger was done. To allow radical excision and reconstruction of the thumb and skin defect, we used an extended wrap-around flap. This fla p is useful for primary reconstruction of the thumb following radical excision of a congenital arteriovenous fistula involving the thumb.