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Case Reports in Surgery
Volume 2014, Article ID 315081, 2 pages
Case Report

Coverage of the Neurovascular Unit of the Fingertip Using a Reverse Homodigital Dorsal Flap

1Department of Medical and Surgery Specialties, Section of Plastic Surgery, University of Catania, Cannizzaro Hospital, 829 Via Messina, I-95126 Catania, Italy
2Department of Orthopedic, Traumatologic, Rehabilitative and Plastic-Reconstructive Sciences, Second University of Naples, 3 L. De Crecchio, I-80138 Naples, Italy
3Department of Medicine and Surgery, Plastic Surgery Unit, University of Salerno, Azienda Ospedaliera Universitaria OO.RR. San Giovanni di Dio e Ruggi d’Aragona, 1 Via San Leonardo, I-84131 Salerno, Italy

Received 3 October 2013; Accepted 17 December 2013; Published 9 January 2014

Academic Editors: A. Cho, F. Marchal, and M. Nikfarjam

Copyright © 2014 Rosario E. Perrotta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The exposure of bone, tendons, vessels, and nerves in a digital defect is one of the most frequent and severe problems to solve in hand surgery and current approaches are still disappointing. We show the use of an homodigital adipofascial flap taken from the same finger for covering the pulpar defect in a one-step surgical technique able to preserve the digital artery.