Thenar Flap Pulp defect of Middle Finger

Thenar Flap

Indication :

Tip /Pulp defects of Index and Middle finger.

Prerequisites:

Lax skin suitable in old age and women

Not to be used in manual labourers.

Planning and preparation of defect

Incision:

Incision is made over the thenar grease and towards the palm.

Subcutaneous tissue is included upto muscle dissection done.

Careful not to injure the digital nerve to thumb.

Inset:

1:1 ratio is allowed. Inset is given tip and the edges.

Flap Elevation and flap inset into defect

Closure:

Closure of the donor defect is done before giving inset.

Final Suture line of thenar flap

Complication:

Scar tenderness

Flap necrosis.

Follow up:

Division at 14th day

Flap return

Scar massage.