fig7

Figure 7. A: An extended island flap is designed on the ulnar side of the long finger with an identical defect pattern over the palmar aspect of the thumb. B: Mobilization of the island flap on its neurovascular pedicle and preparation of the recipient bed on the thumb. C: Completed transfer of the neurovascular island flap with a full-thickness skin graft on the donor area of the long finger. Care must be taken to avoid a longitudinal scar along the palmar aspect of the donor finger. Note the area of undermining in the palm (© Dr. Piñal 2020)^[6].