Fingertip reconstruction using the hypothenar perforator free flap
Related Experiment Video
Updated: May 10, 2026
The Superficial Inferior Epigastric Artery Fascia Flap for Nerve Reconstruction in Rabbits
Published on: June 13, 2025
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
Background:
The purpose of this study was to present the results of using the hypothenar perforator free flap for fingertip reconstruction.
Methods:
Between 2004 and 2012, 24 patients underwent reconstruction of fingertip defects using the hypothenar perforator free flap at our institute.
Results:
Flap survival was complete in 22 flaps. Flap size ranged from 1.5 to 2.5 cm in width and 2.7-4.5 cm in length. Donor sites were closed primarily in all patients. Healing of all donor sites was uncomplicated, and donor-site morbidity was minimal with acceptable scarring. Long-term follow-up for more than 12 months (range, 12-51 months) was possible in 14 patients and revealed excellent flap sensibility.
Conclusions:
The hypothenar perforator free flap provides acceptable functional and cosmetic outcomes for the reconstruction of fingertip defects. The authors recommend that this flap should be considered as a useful option for fingertip reconstruction.
