Work

Simultaneous resurfacing of two fingers using a free medial plantar artery perforator flap: A case report

Year: 2025

Type: article

Abstract: This case report describes the reconstruction of two adjacent fingertip pulp defects using a single free medial plantar artery perforator flap. A 30-year-old man sustained traumatic amputations of the left index and middle finger pulps. A flap harvested from the medial plantar region was used to resurface both defects and was successfully anastomosed to the digital vessels of the index finger. Despite the need for a donor-site skin graft and secondary flap division, the procedure yielded excellent contour, mobility, and sensory recovery. The medial plantar artery perforator flap offers a reliable option with a good texture and color match, making it feasible even for general plastic surgeons without microsurgical subspecialization.

Source: JPRAS Open

DOI: 10.1016/j.jpra.2025.06.021

Authors: Chunyan Zhao, Toru Miyanaga, Masanobu Yamashita

Institution: Kanazawa Medical University

Language: English

Topic: Reconstructive Surgery and Microvascular Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,920