[Plastic surgery of distal defects of the fingers using free vascularized autologous grafts]

The results of 50 operations for replacement of soft tissue defects of the fingers are analysed. Plastic repair of the defects in 6 cases was performed with free neurovascular autotransplants taken from the lateral surfaces of the middle or ring finger. In 5 cases the transplanted graft healed, in one case its necrosis occurred. The late-term results were studied in follow-up periods of 4 to 34 weeks. A good aesthetic and functional result was recorded, including restoration of discriminating sense. The suggested operation is considered an alternative method for replacement of soft tissue defects of the finger tips.