A modification of the Souquet advancement flap in fingertip reconstruction

The Hueston local transposition flap and Souquet advancement flap are two commonly employed options in fingertip reconstruction after amputation. Both are rectangular flaps rotated so that the free edge advances to cover the defect in the fingertip. They differ in that the Hueston flap does not include the neurovascular bundle in the free edge, while the Souquet flap does include the bundle. In consequence, the Hueston advances further but is half insensate, while the Souquet advances far less but is sensate. We describe a modification of the Souquet flap that retains the advantages of both flaps while avoiding the drawbacks.