[Hueston's flap in distal digital amputations. Apropos of 43 cases]

John Hueston described an advancement rotation flap, sacrificing the innervation of the advanced skin. René Souquet proposed a modification of the technique to retain the sensitivity of the advanced skin. We reviewed 43 such flaps to compare the long term results with a median follow-up of 3 years. The mean 2PD was 6.8 mm for the classical technique and 5.9 mm for the modified flaps. The Semmes-Weinstein test was identical to the controlateral side in 77% and 92% of cases, respectively. These discrepencies were not statistically significant.