Mihaela Perțea1* and Sorin Luncă2
The thumb accounts for almost 50% of hand function, the pulp having a major role in ensuring it. Pulp injuries lead to marked disability, so preserve length, position, mobility, sensitivity thumb are just some of the goals that must be met for the techniques used in reconstruction of the thumb and its pulp. To rebuild the thumb pulp, Littler describes the technique that bears his name in 1953, using a neurovascular flap harvested from the cubital board of the third finger. Immediately after describing it, his technique proved to be successful as it brings the thumb pulp a sensitive tissue. As time has proved Littler flap attached advantages and some disadvantages. These have been linked mainly to the difficult and often incomplete cortical integration of the new pulp and donor site morbidity. The purpose of this article is to bring to attention the technique that should be considered whenever we face a thumb trauma with loss of the pulp region and exposure of the underlying structures.
PDFShare this article
Journal of Surgery received 288 citations as per Google Scholar report
