fig11
![Workhorse flaps for thumb reconstruction](https://image.oaes.cc/dbb2d2c2-c464-4727-9a25-e1273e52260a/5206.fig.11.jpg)
Figure 11. A diagram showing Littler’s flap harvest. (A) The thumb defect and the flap design on the ulnar aspect of the middle finger. (B) A zigzag incision is made and the neurovascular pedicle is exposed. (C) The flap is raised. (D) The flap reaches the defect under a skin tunnel, and the donor site is covered with a full-thickness skin graft.