The thenar flap—An analysis of its use in 150 cases

Reconstruction of volar skin and soft tissue defects of the digits including the pulp: Experience with the free SUPBRA flap

“…Other flap designs have been very radial leading to more obvious donor site scars on the thenar eminence. 17,18 It is interesting that without neuroraapphy (except in one patient), there has been significant functional sensory recovery, as previously shown in pedicled thenar flaps 27 and distal thenar perforator based island flap. 28 This is as a result of neurotisation and is likely better because of the proximity of the donor site to the recipient bed with an excellent tissue match and a high density of nerve receptors on the tips of the digits.…”

“…27 This allows larger defects to be covered. In our series, all the donor sites were closed primarily limiting the flap width in almost all cases to 2 cm with the palm relaxed.…”

Fingertip Reconstruction with the Laterally Based Thenar Flap: Indications and Long-Term Functional Results

“…In the article he stressed the importance of positioning the thumb as to minimize flexion at the proximal interphalangeal (PIP) joint of the finger to be reconstructed. In 1982, he published a large clinical series of thenar flaps, applying these principles [14]. Excellent subjective data were reported, but the objective functional analysis was not sufficiently rigorous to allow a comparison with other reconstructive techniques, such as cross-finger flaps or reverse digital artery flaps.…”

Predictors of Proximal Interphalangeal Joint Flexion Contracture After Homodigital Island Flap

“…Patients more than 50 years of age are poor candidates for procedures with the thenar flap due to a strong tendency for joint stiffness. 14,15 Preexisting joint arthrosis and muscle weakness in elderly patients may also affect postoperative finger motion. Early hand therapy intervention and an additional extension orthosis at night may be useful in patients older than 60 after homodigital flap transfer.…”