Abstract
Fingertip amputation is often performed at the nail level and various procedures for its reconstruction have been reported. The graft on flap method introduce by Hirase et al. was performed on four fingers (2 men, 2 women, mean age 45 years), all amputated at subzone II level. The volar side of the reattached fingertips was covered by thenar flaps in three cases and an oblique triangular flap in one case. All grafts survived the treatment and postoperative sensory recovery was nearly satisfactory. However, in the case of the oblique triangular flap, sensory recovery was superior to the three cases with thenar flaps. The method used is easy to perform and obtains good results. It was further suggested that in the future the reattached fingertips should be covered by an oblique triangular flap instead of thenar flaps when possible.
