The versatile axial pattern digital transposition flap

The anatomic and clinical basis for a reliable and versatile axial pattern transposition flap for reconstruction of complex distal finger injuries is presented. This is a one-step procedure utilizing the nondominant side digital skin with possible preservation of the nerve to the fingertip. This flap obviates the necessity for a distant donor site and provides nonbulky good quality tissue. In eight patients requiring nine flaps, it has proved valuable in the salvage of severely injured digits. These injuries probably would have required distant flap reconstruction or flaps that might have jeopardized adjacent digits.