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Related Experiment Video

Updated: May 2, 2026

A Model of Free Tissue Transfer: The Rat Epigastric Free Flap

A Model of Free Tissue Transfer: The Rat Epigastric Free Flap

Published on: January 15, 2017

Hatchet flap for distal fingertip amputations.

Dharmala Nitesh Reddy¹, Raman Tandon², Komal Tripathi²

¹Consultant Plastic Surgeon, KIMS ICON Hospital, Vishakhapatnam, Andhra Pradesh, India.

Journal of Hand and Microsurgery

|September 5, 2024

Summary

The hatchet flap is an effective reconstructive option for distal fingertip amputations, providing good sensation and functional recovery. This method offers a valuable solution for managing fingertip injuries with minimal complications.

Keywords:

2 point discrimination Fingertip amputation/injuries Hatchet flap

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Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

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Published on: May 23, 2025

Area of Science:

Plastic Surgery
Hand Surgery
Reconstructive Surgery

Background:

Fingertip amputations cause significant pain, suffering, and loss of productivity.
Reconstructing distal fingertip amputations requires supple, sensate tissue coverage.
Various reconstructive techniques exist for fingertip injuries.

Purpose of the Study:

To evaluate the efficacy of the hatchet flap in managing distal fingertip amputations.
To assess the functional and aesthetic outcomes of hatchet flap reconstruction.
To determine the suitability of the hatchet flap as a reconstructive option.

Main Methods:

The study included 31 patients (35 fingers) with distal phalanx fingertip amputations.
Transverse and dorsal oblique amputations were included; volar amputations were excluded.
The hatchet flap was surgically applied over an 18-month period.

Main Results:

The hatchet flap provided excellent padded soft tissue cover and aesthetic shape.
Good tactile sensation was achieved, with an average 2-point discrimination of 6.7 mm at 12 weeks.
Most patients returned to daily routines within 3 weeks, with minimal joint stiffness and paresthesia.

Conclusions:

The hatchet flap is a viable local reconstructive option for distal fingertip amputations.
It effectively preserves tactile sensation and improves functional outcomes.
The hatchet flap is a valuable addition to reconstructive surgery for fingertip injuries.