Radial Forearm Wrapped-around Iliac Graft: Alternative Option for Thumb Reconstruction

Abstract

We present a case in which a patient with well-differentiated squamous cell carcinoma of the dominant thumb underwent resection at the level of metacarpo-phalangeal joint and primary reconstructive surgery using a tricortical iliac bone graft with radial forearm wrapped-around pedicle flap. This single stage resection and reconstructive procedure was simple and relatively easy to perform, without the need for microsurgical expertise. Detailed surgical procedures and excellent functional result are described.

Keywords

• Squamous Cell Carcinoma
• Thumb Resection
• Thumb Reconstruction
• Forearm Flap
• Iliac Graft