[Modification of the Kutler flap: neurovascular pedicle]

Digital pulp reconstruction by a modification of the KUTLER double V-Y plasty has been performed in all digits. Greater mobility of the flaps was obtained by dissecting out the neuro-vascular pedicle employing microsurgical techniques. This permits successful coverage of larger pulp defects, giving satisfactory padding and excellent sensibility following reconstruction of finger tip. The technique is described and late results reported.