Case Report: Reverse Homodigital Dorsal Radial Flap for Distal Thumb Reconstruction

Abstract The retrograde flow flap carries multiples advantages including long vascular pedicle with wide arc of rotation. These flaps are thin, flexible , and have a durable nature. Furthermore donor site morbidity is reduced by limiting surgery to the same digit, it is a single stage procedure with a short recovery period allowing quick progression to rehabilitation. We present a 60 year-old gentleman had an electrical burn to his left hand with a deep injury to the radial side of distal phalanx of the thumb. The wound has been treated by the reverse homodigital dorsal radial flap that has been described by Moschella et al, patient had very good result, with good range of movement and function after a year postoperatively. Moschella flap is a very good choice to treat distal phalanx injury of the thumb.