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Updated: Aug 14, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
[Fingertip reconstruction using a volar flap based on the transverse palmar branch of the digital artery]
Hong-Tai Hu1, Wen-Hua Chen, Wen-Chao Liu
1The Ninth People's Hospital, Shanghai Second Medical University, Shanghai 200011, China.
Objective:
To present a new neurovascular island flap for fingertip reconstruction.
Methods:
Based on the transverse palmar branch of the digital artery, this flap was designed on the volar side of a digit and reversed to repair the fingertip defects.
Results:
12 fingers in 11 patients were reconstructed using this flap. Of them, 11 flaps survived and one necrosed. The contour of the reconstructed fingers looked well.
Conclusion:
This new neurovascular island flap provides excellent padding and sensation for fingertip reconstruction. The technique is simple.
