# Simultaneous resurfacing of two fingers using a free medial plantar artery perforator flap: A case report

## TL;DR

A single flap from the foot was used to reconstruct two fingertip injuries, offering good results for general plastic surgeons.

## Contribution

A novel technique using a single medial plantar artery perforator flap for dual fingertip reconstruction is presented.

## Key findings

- A single flap successfully resurfaced two adjacent fingertip defects with good contour and mobility.
- The procedure allowed for excellent sensory recovery and color/texture match.
- The technique is feasible for general plastic surgeons without microsurgical expertise.

## Abstract

This case report describes the reconstruction of two adjacent fingertip pulp defects using a single free medial plantar artery perforator flap. A 30-year-old man sustained traumatic amputations of the left index and middle finger pulps. A flap harvested from the medial plantar region was used to resurface both defects and was successfully anastomosed to the digital vessels of the index finger. Despite the need for a donor-site skin graft and secondary flap division, the procedure yielded excellent contour, mobility, and sensory recovery. The medial plantar artery perforator flap offers a reliable option with a good texture and color match, making it feasible even for general plastic surgeons without microsurgical subspecialization.