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Professional Technical IVT

Moberg flap

Volar advancement flap used for fingertip reconstruction, based on neurovascular bundles for sensate coverage.

Full Definition

The Moberg flap is a specialized volar advancement flap technique used for fingertip reconstruction, particularly valuable for providing sensate coverage of fingertip defects. Originally described by Erik Moberg in 1964, this flap is based on the digital neurovascular bundles and can advance proximally by flexing the interphalangeal joints. The flap is most commonly used for thumb reconstruction but can be applied to fingers as well. The technique preserves sensation because the flap includes the digital nerves, making it ideal for areas requiring discriminatory sensation. The flap can advance approximately 1-2 cm, and donor site coverage may require skin grafting. Success depends on adequate vascular supply and careful surgical technique to avoid neurovascular bundle injury.

Usage

Usage note: Named procedure should be capitalized; specify whether used for thumb or finger reconstruction.

In Context

  • "A Moberg flap was performed to provide sensate coverage of the thumb tip amputation." — Operative report
  • "The Moberg flap healed well with restoration of two-point discrimination at the fingertip." — Follow-up note

Also known as

neurovascular island flap Moberg advancement flap

Don't confuse with

thenar flap cross-finger flap first dorsal metacarpal artery flap

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