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To present a new neurovascular island flap for fingertip reconstruction.Based on the transverse palmar branch of the digital artery, this flap was designed on the volar side of a digit and reversed to repair the fingertip defects.12 fingers in 11 patients were reconstructed using this flap. Of them, 11 flaps survived and one necrosed. The contour of the reconstructed fingers looked well.This new neurovascular island flap provides excellent padding and sensation for fingertip reconstruction. The technique is simple.

To introduce the applications of a series of digital island flaps to the repair of finger and/or fingertip defects and explore the indications.A total of 79 cases (82 digits) were treated with different flaps, including (1) the digital neurovascular pedicled V-Y advancement flap; (2) the reversed dorsoulnar arterial flap of the thumb; (3) the reversed digital arterial dorsal branch flap; (4) the modified Moberg flap; (5) the reversed digital arterial flap; (6) the Hueston flap; (7) the homodigital adipofascial turnover flap and the twin neurovascular island flaps.Satisfactory results were obtained in digital appearance and function.These hoinodigital island flaps were particularly helpful for repair of finger and/or fingertip defects.