Tip /Pulp defects of Index and Middle finger.
Lax skin suitable in old age and women
Not to be used in manual labourers.
Planning and preparation of defect
Incision is made over the thenar grease and towards the palm.
Subcutaneous tissue is included upto muscle dissection done.
1:1 ratio is allowed. Inset is given tip and the edges.
Flap Elevation and flap inset into defect
Closure of the donor defect is done before giving inset.
Final Suture line of thenar flap
Division at 14th day