• M V Meyer-Marcotty, S Kall, and P M Vogt.
• Plastische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Replantationszentrum, Schwerbrandverletztenzentrum, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany. Maxmeyermarcotty@gmx.de
• Unfallchirurg. 2007 May 1; 110 (5): 433446433-46.

AbstractThe fingertip is an extremely specialized end organ with a highly developed sense of touch. In this article, we present the different ways of reconstructing a traumatized fingertip. Additionally, we systematically explain the differential indications for the different techniques available. The whole spectrum of fingertip reconstruction is discussed, starting from local neurovascular flaps (palmar VY-Atasoy flap, Kutler flap, palmar Moberg flap, lateral Venkataswami and Subramanian flap, palmar Hueston flap), distant flaps (Littler flap, Foucher flap, dorsal metacarpal artery flap, cross-finger flap, reversed cross-finger flap) and finally free flap transfer (free toe-pulp transfer, spare-part transplantation). The advantages and disadvantages of each flap are highlighted. We develop an algorithm to facilitate finding the correct type of reconstruction.

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