Microsurgical Free Tissue Options for Fingertip Reconstruction

Hand Clin. 2021 Feb;37(1):97-106. doi: 10.1016/j.hcl.2020.09.002.

Abstract

Fingertip injuries occur commonly owing to trauma in everyday life. Performing amputation or stump revision for a fingertip injury can make it possible to quickly return to daily life, but causes functional and cosmetic problems. We believe that free flaps are the ideal way to minimize donor site morbidity and provide satisfactory reconstruction. Fingertips have different anatomic characteristics on the dorsum, volar aspect, and pulp, so it is necessary to select the appropriate free flap. Sometimes for larger defects, composite tissue transfer can be considered for reconstruction. This article discusses various free flap options for different fingertip defects.

Keywords: Digit; Fingertip; Free flap; Microsurgery; Reconstruction; Soft tissue defect.

Publication types

  • Review

MeSH terms

  • Finger Injuries* / surgery
  • Fingers / surgery
  • Free Tissue Flaps*
  • Humans
  • Plastic Surgery Procedures*