Abstract
We reconstructed a right middle fingertip using a twisted wrap around flap.
A 20-year-old female injured her right middle fingertip while using a heat press machine for sealing plastic bags. The right middle finger survived by a conservative treatment. However, nail was lost, and atrophy and hypersensitivity of finger pulp remained. She requested reconstruction of the middle finger with sensitive pulp and nail. Eight months after the injury, we reconstructed the middle finger with a twisted wrap around flap. We eventually covered the donor site with a full thickness skin graft at 5 weeks after an artificial dermis graft. After primary surgery, she was self-conscious of the bulkiness of her right finger and had hidden her right middle finger by wearing a glove. She was satisfied after 3 cosmetic surgeries and she stopped wearing the glove.
A twisted wrap around flap has the potential to avoid the toe pain when walking because the flap is harvested from non-weight bearing areas of the 1st and 2nd toes.
