VERSATILITY OF THE HOMODIGITAL TRIANGULAR NEUROVASCULAR ISLAND FLAP IN FINGERTIP RECONSTRUCTION

This paper reports 25 cases of a versatile homodigital triangular neur ovascular island flap for fingertip reconstruction. This flap was used to reconstruct traumatic oblique palmar amputations, with loss of fin gertip pulp requiring advancement of not more than 2 cm. Good results were obtained in terms of fingertip contour and padding, sensibility, and functional recovery. The tendency for flexion contracture at the P IP joint was prevented by using a dynamic extension splint at night. C old intolerance must be expected, especially in cold countries.