Background The purpose of this study was to present the results of using the hypothenar perforator free flap for fingertip reconstruction. Methods Between 2004 and 2012, 24 patients underwent reconstruction of fingertip defects using the hypothenar perforator free flap at our institute. Results Flap survival was complete in 22 flaps. Flap size ranged from 1.5 to 2.5 cm in width and 2.7-4.5 cm in length. Donor sites were closed primarily in all patients. Healing of all donor sites was uncomplicated, and donor-site morbidity was minimal with acceptable scarring. Long-term follow-up for more than 12 months (range, 12-51 months) was possible in 14 patients and revealed excellent flap sensibility. Conclusions The hypothenar perforator free flap provides acceptable functional and cosmetic outcomes for the reconstruction of fingertip defects. The authors recommend that this flap should be considered as a useful option for fingertip reconstruction.
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