TechniquesReconstruction of Volar Digital Defects: Clinical Experience with the Hipothenar FlapWolff, Germán Augusto MD; Patrón, Alfredo S. MD; Herrera, Ovidio MD; Posso, Carolina MD Author Information Servicio de Cirugía Plástica y Reconstructiva, Departamento de Cirugía, Facultad de Medicina, Universidad de Antioquia Address correspondence and reprint requests to Germán Augusto Wolff, MD, Torre Médica “Las Américas,” Diagonal 75 B No 2A—80 Cons. 421, Medellín, Colombia. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery 14(3):p 191-195, September 2010. | DOI: 10.1097/BTH.0b013e3181dcd453 Buy Metrics Abstract Soft tissue defects of the little finger especially for flexor injuries located on area ll, secondary to traumatic loss or contracture of soft tissue, infection or tumor, are challenging procedures for any hand surgeon. The reconstructive goal is to provide stable coverage to all noble structures exposed. Reconstructive options for this particular area include local, regional and free flaps, but all of them offer an important donor site morbidity. We present tree clinical cases of soft tissue defects of the little finger using the hipothenar fasciocutaneous reversed island flap, designed from the skin located over the abductor digiti minimi, which is on the basis of ulnar palmar digital artery. The donor site was closed primary. Clinical results were satisfactory and donor site wound healing was adequate. © 2010 Lippincott Williams & Wilkins, Inc.