Reconstruction of finger pulp defects using homodigital dorsal middle phalangeal neurovascular advancement flap

J Hand Surg Eur Vol. 2010 Feb;35(2):125-9. doi: 10.1177/1753193409337957. Epub 2009 Aug 17.


Eighteen finger pulp defects were reconstructed using a homodigital dorsal middle phalangeal neurovascular island flap procedure based on a single neurovascular pedicle preserving the length of the finger. All flaps survived and achieved adequate functional and cosmetic results. The mean follow-up time was 22 months. The mean value of static two-point discrimination test of the healed flaps was 7 mm and the mean value of moving two-point discrimination test was 5 mm. Range of motion was considered satisfactory in all reconstructed fingers except one, in which a 20 degree extension deficit at the proximal interphalangeal joint was observed. This flap represents a useful alternative for reconstruction of the fingers with large pulp defects.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Female
  • Finger Injuries / surgery*
  • Humans
  • Male
  • Middle Aged
  • Range of Motion, Articular
  • Reconstructive Surgical Procedures / methods*
  • Soft Tissue Injuries / surgery*
  • Surgical Flaps* / blood supply
  • Surgical Flaps* / innervation
  • Treatment Outcome