The authors present a choice of thumb reconstruction method using free transfer of sensitive radial artery flap together with autologous bone graft implantation in a single-time operation. They regard this approach as more advantageous than the standard tubed flap techniques. The advantages are the following: 1. single-time operation, 2. flap tissue sensitivity, and 3. satisfactory shape of the reconstructed thumb, requiring no subsequent modellation. Photographs show the surgical procedure and three other casuistics.

Department of Plastic Surgery Charles University Medical Faculty Prague