Isle of palm and sole fillet flaps

Extensive extremity injuries appropriately managed by immediate amputation may be compromised if retained soft tissues are inadequate to permit a simple wound closure. In usual circumstances, if the foot or hand from the soon-to-be-discarded part has not been violated and, by chance, remains viable through a major neurovascular pedicle, then a fillet of the sole or palm fashioned as a local island flap may be used for durable and potentially sensate stump coverage. Function preservation by salvaging maximal amputation stump length could then be achieved in lieu of more complex microsurgical techniques.