fig13

Figure 13. (A) Posttraumatic necrosis of the distal phalanx of the right thumb. (B) The ipsilateral great toe was used as an immediate great toe to hand transfer in order to salvage the thumb interphalangeal joint (IPJ) of this patient’s dominant hand. (C) Flap raise. This patient had a dorsal dominant circulation. The pedicle was harvested long enough to enable vascular anastomosis to the radial artery and venae comitantes. (D-F) A pulp plasty and a debulking procedure were performed later on in order to improve the functional and aesthetic results. (G) Immediately after the pulp plasty and debulking procedure. This patient regained IPJ movement and static 2-point discrimination S2PD of 10 mm, and returned to work.