Chirurgie reconstructive après amputation traumatique du pouce

Secondary thumb reconstruction after traumatic amputation has largely evolved owing to the development of numerous techniques. Conventional techniques remain important and indicated, including the rejuvenated osteoplastic reconstruction with composite forearm island flaps and the progressive lengthening by distraction. Pollicization remains sometimes indicated, in case of associated mutilated finger. Microsurgery has been added to the armamentum through free vascularized toe transfers. Even in this field, improvements are observed, both for the recipient and the donor sites.