V-Y advancement of the entire volar soft tissue of the thumb in distal reconstruction.

The commonly used variant of Moberg's advancement flap for thumb reconstruction requires a skin graft to reconstruct the proximal thumb defect after advancing the flap. A modification has been described previously which allows direct closure of this proximal defect by incorporation of the V to Y principle into the design of the proximal part of the flap. A variant of the V-Y Moberg flap is presented and its advantages discussed.