Osteocutaneous digital fillet flap. A technical modification.

A modified osteocutaneous digital fillet flap was used to reconstruct the thumb of a fifty-three year old male with a severe gunshot wound to the dominant hand. An arthrodesis in the central portion of the bone graft sustained a fatigue fracture that progressed to union without treatment. The one stage procedure avoided the immobilization of a distant pedicle flap, revisional surgery of a complex free flap, and donor site morbidity.