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An extensive traumatic defect at the level of the proximal phalanx of the thumb presents difficulty in replantation. We report bilobed second dorsal metacarpal artery–based island flap harvested from both the index and middle fingers for reconstruction of the defect and preservation of the normal thumb length.From March 2004 to October 2008, 15 patients (11 men and 4 women; mean age, 35 y; range,...
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