Search

Various reconstruction procedures are now available for the treatment of fingertip defects with exposure of the phalanx. Herein we report a subcutaneous pulp flap (SPF) technique, involving use of the adjacent fatty tissue of the wound to form a rotated fatty tissue flap that covers the exposed bone. The SPF was then treated postoperatively with repeated moist dressings. This SPF treatment had minimal donor site defect and morbidity. In brief, the technique is a simple and safe alternative for the reconstruction of fingertip defects. The shortcoming of this flap is that the healing period is longer than for other methods.

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.