Abstract

Abstract:
Background: fingertip is the most injured part of the hand. There are many methods used to cover soft-tissue defects of the fingertip. The primary goal of digital reconstruction is to preserve digital length and maintain full mobility of the digit while providing adequate protective cover of the deeper vital structures with skin and soft tissue of good quality.
Aim of the study: This study to evaluate the use of a modified mid palmar flap for coverage of ring and middle fingertip amputations with an exposed bone to assess functional and aesthetic results regarding the length preservation of digit, overcome joint contracture, and return of sensation.
Patients and method: Between January 2020 and June 2021, we used a modified mid palmar flap for 11 ring and middle fingertip amputations for patients, average age 27.7 years, whose fingertip amputations in different planes and zones. Follow- up period at least 4-12 months.
Result: All flaps are viable, with no partial or total flap necrosis. The patient had neither cold intolerance nor scar tenderness and no joint contracture. With the return of sensation to the reconstructed area. No donor site infection or wound dehiscence.
Conclusion: Modified mid palmar flap is two stages procedure, short time technique provides durable coverage with good color and texture match of the fingertip, without joint stiffness, and can be used for any plane of fingertip injury.