Abstract
The heterodigital neurovascular island flap is indicated for the resurfacing of significant defects of the thumb pulp. It provides excellent soft tissue cover and sensibility.1 The complications reported have been mostly neurological and include poor sensation, hyperaesthesia, failure of cortical integration and cold intolerance.2–4 Loss of the flap from vascular insufficiency has also been reported.2,5 We report the loss of the index, middle and ring finger pulps in a patient after transfer of a heterodigital neurovascular island flap from the middle finger to the thumb.
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