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Published on: June 13, 2025
Fingertip reconstruction using the hypothenar perforator free flap.
Kwang Seog Kim1, Eui Sik Kim, Jae Ha Hwang
1Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea. pskim@chonnam.ac.kr
Summary
The hypothenar perforator free flap is a successful option for fingertip reconstruction, offering good function and appearance with minimal donor site issues. This method provides excellent flap sensibility and outcomes.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Fingertip defects present a reconstructive challenge.
- The hypothenar perforator free flap is a potential solution for these defects.
Purpose of the Study:
- To evaluate the outcomes of using the hypothenar perforator free flap for fingertip reconstruction.
- To assess the functional and cosmetic results of this reconstructive technique.
Main Methods:
- A retrospective review of 24 patients who underwent fingertip reconstruction.
- Utilized the hypothenar perforator free flap between 2004 and 2012.
Main Results:
- High flap survival rate (22 out of 24 flaps).
- Minimal donor-site morbidity with uncomplicated healing and acceptable scarring.
- Excellent long-term flap sensibility reported in 14 patients.
Conclusions:
- The hypothenar perforator free flap yields acceptable functional and cosmetic results for fingertip defects.
- This flap is a recommended and useful option for fingertip reconstruction.
