title: Step-advancement island flap for fingertip reconstruction.
abstract: An island flap is described for fingertip reconstruction, based on one neurovascular bundle. The design incorporates the stepladder principle, which ensures the provision of ample skin with full tactile sensibility in the required position, without the risk of longitudinal volar scarring and with good nail support when necessary. Fourteen such repairs have been carried out with satisfactory results and no complications.
authors.affiliation: Department of Plastic Surgery, Wexham Park Hospital, Slough, Berkshire.
authors.forename: D M
authors.initials: DM
authors.lastname: Evans
authors.forename: D L
authors.initials: DL
authors.lastname: Martin
mesh_terms: D000673:Amputation, Traumatic / Q000601:surgery; D005383:Finger Injuries / Q000601:surgery; D005385:Fingers / Q000601:surgery*; D006801:Humans; D008722:Methods; D013524:Surgical Flaps