Abstract
In thumb reconstruction, the wrap around free flap ensures excellent functionality and a superb aesthetic outcome. However, delayed wound healing, pain, ulceration, and erosion at the donor site can be problems.
In ten patients, microdissected thin perforator flaps comprising four anterolateral thigh flaps, two tensor fasciae latae perforator flaps and four microdissected groin flaps were used for coverage of the donor defect of the big toe resulting from wrap around flap transfers. Major complications were not observed except for intraoperative arterial thrombosis in one microdissected groin flap. No patient required revisions. Covering the big toe after a wrap around flap transfer with microdissected thin perforator flaps caused no significant morbidity.
