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Related Experiment Video

Updated: Jan 3, 2026

Procurement and Perfusion-Decellularization of Porcine Vascularized Flaps in a Customized Perfusion Bioreactor

Procurement and Perfusion-Decellularization of Porcine Vascularized Flaps in a Customized Perfusion Bioreactor

Published on: August 1, 2022

Flaps Based on Palmar Vessels.

Nikhil Panse¹, Ameya Bindu¹

¹Department of Plastic Surgery, B.J. Govt Medical College, Sassoon Hospital, Pune, Maharashtra, India.

|November 24, 2019

Summary

Local palmar flaps offer excellent color and texture matching for finger reconstruction. These flaps are ideal for proximal and smaller palmar finger defects, utilizing the principle of like-with-like reconstruction.

Keywords:

Digital reconstruction Finger defects Flaps for finger defects Hypothenar flaps Palmar flaps for finger defects Thenar flaps

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Published on: December 5, 2025

Area of Science:

Plastic Surgery
Hand Surgery
Reconstructive Surgery

Background:

Reconstructing the palmar aspect of fingers requires tissue with similar color and texture.
Glabrous palm skin is ideal for this purpose, adhering to the like-with-like principle.
Limited local flaps from the palm have been described for digital reconstruction.

Purpose of the Study:

To review local flaps based on palmar vessels for digital reconstruction.
To share the authors' experiences with these palmar flaps.
To discuss the indications, anatomy, and techniques for palmar flaps in finger reconstruction.

Main Methods:

Review of existing literature on local palmar flaps for digital reconstruction.
Analysis of the authors' clinical experience with these flaps.
Discussion of surgical anatomy and operative techniques.

Main Results:

Glabrous palm skin offers superior color and texture match for palmar finger defects.
Various local axial and perforator flaps from the palm can be utilized.
These flaps are particularly suitable for proximal and smaller palmar finger defects.

Conclusions:

Local flaps derived from palmar tissues are effective for digital reconstruction.
The principle of 'reconstructing like with like' is best achieved using palmar skin.
These flaps are recommended for proximal and smaller defects on the palmar aspect of fingers.