Abstract
There are many reconstruction methods for single fingertip injuries; however, for cases of multiple fingertip injuries, there is no established reconstruction method. Therefore, we used the medialis pedis flap for two cases of multiple fingertip injuries, one of which involved the index and middle fingers and the other the index, middle, and ring fingers. All cases became congested at the end of the flap. However, the flaps completely survived and had a protective sensation. The medialis pedis flap has a good color match, texture, and thickness for finger reconstruction. However, there are some problems in cases of multiple fingertip injuries, including flap congestion and flap cutting surgery for finger separation. The addition of cutaneous vein anastomosis will reduce the flap congestion. Moreover, we should wait sufficiently to cut the flap because range of motion exercises can be performed with no flap separation, which results in less contracture of the joints. The medialis pedis flap is a recommended method for the reconstruction of multiple fingertip injuries.
