[Fingertip reconstruction using a volar flap based on the transverse palmar branch of the digital artery]

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.