{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T21:37:25Z","timestamp":1781300245118,"version":"3.54.1"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T00:00:00Z","timestamp":1708300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Thumb tip injuries constitute one of the most common hand injuries. There are various reconstructive options for thumb tip injuries. We present our series of thumb tip injuries reconstructed using Elliot's modi\ufb01cation of the Moberg \ufb02ap, which provides like-for-like tissue. We also present our flap improvisation, which can be useful in the armamentarium of plastic surgeons.<\/jats:p><jats:p>\n          Background\u2003Moberg described the advancement \ufb02ap for thumb defects in 1964, which was modi\ufb01ed by O'Brien in which the proximal part of the \ufb02ap is incised and advanced. Although it is a popular \ufb02ap, it has the disadvantage of interphalangeal (IP) joint \ufb02exion deformity. Among the various modi\ufb01cations of the Moberg \ufb02ap, Elliot's \ufb02ap provided more tissue with minimal donor site morbidity and no usage of skin grafts or \ufb01rst web skin.<\/jats:p><jats:p>\n          Methods\u2003We retrospectively analyzed the patients who underwent reconstruction of thumb defects by Elliot's modified Moberg's \ufb02ap. The size of the defect, etiology, and IP joint movement were analyzed. Two patients underwent our improvised \ufb02ap where a daughter \ufb02ap was elevated within Elliot's \ufb02ap.<\/jats:p><jats:p>\n          Results\u2003Between January 2021 and September 2023, 12 patients underwent reconstruction by Elliot's \ufb02ap. All \ufb02aps settled well. There was no IP joint deformity. Two patients had scar hypertrophy that was managed conservatively.<\/jats:p><jats:p>\n          Conclusion\u2003Elliot's modification of the Moberg \ufb02ap is a very useful but underutilized \ufb02ap for thumb tip injuries that provides like tissue with sensation and with little donor site morbidity. It can be used for thumb tip defects of up to 3\u2009cm. It is possible to incorporate a second V-Y \ufb02ap in patients for whom additional movement is required for tension-free closure.<\/jats:p>","DOI":"10.1055\/s-0044-1779658","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:47:40Z","timestamp":1708390060000},"page":"116-122","source":"Crossref","is-referenced-by-count":1,"title":["Revisiting Elliot's Modification of Moberg's Flap and Our Improvisation"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1647-6084","authenticated-orcid":false,"given":"Anand Prasath","family":"Jayachandiran","sequence":"additional","affiliation":[{"name":"Department of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh","family":"Rajendran","sequence":"additional","affiliation":[{"name":"Department of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8214-8871","authenticated-orcid":false,"given":"Surya Rao Rao Venkata","family":"Mahipathy","sequence":"additional","affiliation":[{"name":"Department of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alagar Raja","family":"Durairaj","sequence":"additional","affiliation":[{"name":"Department of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narayanamurthy","family":"Sundaramurthy","sequence":"additional","affiliation":[{"name":"Department of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj","family":"Ananthappan","sequence":"additional","affiliation":[{"name":"Department of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,2,19]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/0266-7681(93)90073-O","article-title":"V-Y advancement of the entire volar soft tissue of the thumb in distal reconstruction","volume":"18","author":"D Elliot","year":"1993","journal-title":"J Hand Surg [Br]"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/S0363-5023(83)80014-8","article-title":"The extended palmar advancement flap","volume":"8","author":"A L Dellon","year":"1983","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/S0007-1226(68)80033-5","article-title":"Neurovascular island pedicle flaps for terminal amputations and digital scars","volume":"21","author":"B O'Brien","year":"1968","journal-title":"Br J Plast 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Sharma","year":"2018"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"468e","DOI":"10.1097\/PRS.0b013e3182402d43","article-title":"Arteries of the thumb: description of anatomical variations and review of the literature","volume":"129","author":"A R Ram\u00edrez","year":"2012","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1007\/s00402-015-2163-4","article-title":"Thumb fingertip reconstruction with palmar V-Y flaps combined with bone and nail bed grafts following amputation","volume":"135","author":"X Zhou","year":"2015","journal-title":"Arch Orthop Trauma Surg"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1177\/23094990211025089","article-title":"Thumb fingertip injuries reconstruction using a dorsoulnar flap of the thumb combined with relay V-Y flaps for donor site repair","volume":"30","author":"J Wang","year":"2022","journal-title":"J Orthop Surg (Hong Kong)"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.cps.2014.04.004","article-title":"Repair and reconstruction of thumb and finger tip injuries: a global view","volume":"41","author":"J B Tang","year":"2014","journal-title":"Clin Plast Surg"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1097\/01.prs.0000200665.73624.6d","article-title":"Reverse homodigital dorsal radial flap of the thumb","volume":"117","author":"F Moschella","year":"2006","journal-title":"Plast Reconstr Surg"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1097\/01.sap.0000137134.15728.dd","article-title":"Sensate first dorsal metacarpal artery flap for resurfacing extensive pulp defects of the thumb","volume":"53","author":"S C Chang","year":"2004","journal-title":"Ann Plast 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