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![Management of soft tissue defects of the thumb](https://image.oaes.cc/1c1252da-5b15-4ab2-8001-ec50f172dfe1/5472.fig.3.jpg)
Figure 3. A: Excessive demands on the volar advancement flap cause painful flexion contracture of the IP joint. B: By lifting the flap, resecting the fibrotic tendon sheath, and releasing the volar plate, the true defect spanning the whole pulp was revealed. C: The defect was treated with a hemipulp flap (© Dr. Piñal 2020) larger than 50% of the pulp surface.