Dorsalis pedis flap with vascularised nerve graft for simultaneous reconstruction of palm and digital nerves

A case of avulsion of the palm with loss of a segment of a common digital nerve was successfully reconstructed using a dorsalis pedis flap with associated vascularised nerve grafts. The superficial peroneal nerve innervated the flap and the deep peroneal nerve innervated the fingers. The wound healed well with quick sensory return to the fingers as well as to the flap. This is a convenient nerve graft obtained at the same time as flap elevation.