A modified osteocutaneous digital fillet flap was used to reconstruct the thumb of a fifty-three year old male with a severe gunshot wound to the dominant hand. An arthrodesis in the central portion of the bone graft sustained a fatigue fracture that progressed to union without treatment. The one stage procedure avoided the immobilization of a distant pedicle flap, revisional surgery of a complex free flap, and donor site morbidity.
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Barry J. Gainor (1985) studied this question.
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