Coverage of a thumb wound and correction of a first web space contracture using a longitudinally split reverse radial forearm flap

The authors describe a new design for a reverse-flow radial forearm flap. A total thumb amputation by severe avulsion was salvaged by microsurgical re plantation and a reverse-flow radial forearm flap with a modified design to allow repair of two separate hand defects concomitantly. This newly descri bed flap design for the reverse radial forearm flap offers a refined techni que for simultaneous reconstruction of multiple defects in the hand.