Traumatic Amputation of the Thumb at the Proximal Phalanx: A Successful Reconstruction with Gillies’ Technique and Reverse Radial Forearm Flap A Case Report
Main Article Content
Abstract
This case report describes a successful thumb reconstruction using a Gillies’ lengthening procedure and a reverse radial forearm flap in a 31-year-old man who suffered a traumatic thumb amputation at the level of the proximal phalanx with approximately 0.5 cm of bony stump. An iliac crest bone graft lengthened the thumb, and the radial forearm flap provided sensate coverage. Postoperatively, the flap showed excellent viability, and the reconstructed thumb achieved near-contralateral length, improving hand function.
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Reid DAC. The Gillies’ thumb lengthening operation. Hand. 1980;12(2):123–9. https://pubmed.ncbi.nlm.nih.gov/6997143 https://pmc.ncbi.nlm.nih.gov/articles/10.1016/s0072-968x(80)80002-7 DOI: https://doi.org/10.1016/S0072-968X(80)80002-7
Yajima H, Tamai S, Yamauchi T, Mizumoto S. Osteocutaneous radial forearm flap for hand reconstruction. J Hand Surg Am. 1999;24(3):594–603. https://pubmed.ncbi.nlm.nih.gov/10357541 https://pmc.ncbi.nlm.nih.gov/articles/10.1053/jhsu.1999.0594 DOI: https://doi.org/10.1053/jhsu.1999.0594
Moazin OM, Bhat TA, Suraya F, et al. Spiral wrap-around technique in the reverse radial artery fasciocutaneous forearm flap for thumb reconstruction: a report of an innovative technique. Cureus. 2023;15(5):e50999. https://pubmed.ncbi.nlm.nih.gov/38259402 https://pmc.ncbi.nlm.nih.gov/articles/PMC10802925 https://pmc.ncbi.nlm.nih.gov/articles/10.7759/cureus.50999 DOI: https://doi.org/10.7759/cureus.50999
Budi DPS, Sadabaskara M, Budhy F, Sinaga BD. Iliac crest bone graft with radial forearm flap for thumb reconstruction: a case report. Trauma Case Rep. 2024;54:101106. https://pubmed.ncbi.nlm.nih.gov/39318766 https://pmc.ncbi.nlm.nih.gov/articles/PMC11417553 https://pmc.ncbi.nlm.nih.gov/articles/10.1016/j.tcr.2024.101106 DOI: https://doi.org/10.1016/j.tcr.2024.101106