Distal thumb reconstruction using a mini wrap-around flap from the great toe

We hare used a great toe mini wrap-around flap for reconstruction of the th umb at, or distal to, the interphalangeal joint. Our series included 12 pat ients,vith traumatic amputations. A flap including the entire nail and most of the distal phalanx of the great toe was used. Eleven of the grafts surv ived. Sensibility was good with an average of 10 mm static two-point discri mination (range, 5-15) and there were no complaints of cold intolerance. Al l patients were pleased with the appearance of the thumb and there was no s ignificant morbidity at the great toe donor site. The great toe mini wrap-a round flap is an excellent reconstruction technique for selected patients w ith distal thumb amputations.