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. 2015 Sep-Dec;48(3):288-92.
doi: 10.4103/0970-0358.173127.

Hypothenar island flap: A safe and excellent choice for little finger defects

Mehmet Tapan  1 , Murat İğde  1 , Ali Rıza Yıldırım  1 , Yağmur Yaprak Balı  2 , Sedat Yılancı  3 , Ramazan Erkin Ünlü  1
Affiliations

Hypothenar island flap: A safe and excellent choice for little finger defects

Mehmet Tapan et al. Indian J Plast Surg. 2015 Sep-Dec.

Abstract

Soft-tissue defects of the little finger are challenging especially when bone, tendon or vascular pedicle is exposed because of trauma. The hypothenar island flap is easy to harvest and has a good colour and texture match to the little finger pulp. We present nine clinical cases of soft tissue defects of the little finger covered using the reversed hypothenar fasciocutaneous island flap. This article intends to highlight the ease of elevation and good clinical results of the hypothenar flap which is rarely used.

Keywords: Hypothenar island flap; island flap; soft-tissue defects of the little finger.

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Figures

Figure 1
Figure 1
The average distance from the superficial pal mar arch to the carpometacarpal joint of the ring finger was 32.2 mm ± 6.33 mm.[10] Ulnar artery of the little finger is a direct branch of the superficial arch.[11] The number of perforators described in anatomical studies varies from 3 to 6.[1] A constant sizeable perforator was identified within 0.7 cm from the proximal margin of the A1 pulley.[9] In the most distal region of this area, fasciocutaneous perforators are the dominant vascular supply.[28]
Figure 2
Figure 2
The donor site is closed primarily. Brunner incisions and Littler diamond incisions can be used together
Figure 3
Figure 3
(a) Preoperative view, (b) immediate postoperative view and (c) postoperative view, after 3 months
See this image and copyright information in PMC

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