This middle aged lady came with an injury over base of right thumb with injury to extensor tendons(APL) of the thumb and associated skin loss and surrounding abrasions(grazed). Debridement was done and the damaged tendons were isolated. The tendons were debrided and were immediately reconstructed by mobilizing the tendons from the forearm. The reconstructed tendon was covered by the adjacent viable soft tissue and then a full thickness skin graft was applied on the raw area. the donor site was elbow crease which was closed primarily.
A well healed full thickness graft on the base of the thumb with normal function of the thumb.
