Double, Distally Based, Axial Pattern, Distal Perforator Thenar Flap; A Case Report

The provision of the glabrous skin with acceptable sensation is the main objective of any fingertip reconstruction. Thenar flaps can be medially based, laterally based and proximally based. However, all of them are randomly based. A distally based, axial pattern thenar flap could provide stable, like-with-like, palmar skin to the fingertip of an injured distal phalanx. We present a double, distally based axial pattern thenar flap, which we used to simultaneously reconstruct two fingers.