• J Plast Reconstr Aesthet Surg · Sep 2013

    Fingertip reconstruction using the hypothenar perforator free flap.

    • Kwang Seog Kim, Eui Sik Kim, Jae Ha Hwang, and Sam Yong Lee.
    • Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea. pskim@chonnam.ac.kr
    • J Plast Reconstr Aesthet Surg. 2013 Sep 1; 66 (9): 1263-70.

    BackgroundThe purpose of this study was to present the results of using the hypothenar perforator free flap for fingertip reconstruction.MethodsBetween 2004 and 2012, 24 patients underwent reconstruction of fingertip defects using the hypothenar perforator free flap at our institute.ResultsFlap survival was complete in 22 flaps. Flap size ranged from 1.5 to 2.5 cm in width and 2.7-4.5 cm in length. Donor sites were closed primarily in all patients. Healing of all donor sites was uncomplicated, and donor-site morbidity was minimal with acceptable scarring. Long-term follow-up for more than 12 months (range, 12-51 months) was possible in 14 patients and revealed excellent flap sensibility.ConclusionsThe hypothenar perforator free flap provides acceptable functional and cosmetic outcomes for the reconstruction of fingertip defects. The authors recommend that this flap should be considered as a useful option for fingertip reconstruction.Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

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