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

JPRAS Open

Department of Plastic and Reconstructive Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Ishikawa 9200293, Japan.

Published: September 2025


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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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301795PMC
http://dx.doi.org/10.1016/j.jpra.2025.06.021DOI Listing

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