Arch Hand Microsurg 2019; 24(4): 376-380  
Reconstruction of the Fingertip Defect with a Free Radial Artery Superficial Palmar Branch Flap and Iliac Bone Graft
Junsang Lee1, Hyun Sik Park2, Jong Ick Whang1
Departments of 1Plastic and Reconstructive Surgery and 2Orthopedic Surgery, Institute of Hand and Microsurgery, Duson Hospital, Ansan, Korea
Correspondence to: Junsang Lee
Department of Plastic and Reconstructive Surgery, Institute of Hand and Microsurgery, Duson Hospital, 114 Seonbugwangjang 1-ro, Danwongu, Ansan 15368, Korea
TEL: +82-31-402-0114, FAX: +82-31-414-1903, E-mail:, ORCID:
Received: August 21, 2019; Revised: September 17, 2019; Accepted: September 19, 2019; Published online: December 1, 2019.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Fingertip injury occurs due to various causes. Trauma is the most common cause, and most cases are accompanied by bone defects as well as skin and soft tissue defects. When soft tissue and bone defects occur at the fingertip, it is necessary not only to cover the soft tissue defects but also to reconstruct the bones to ensure stability of the fingertip. The authors performed a free radial artery superficial palmar branch flap and iliac bone grafts in patients with soft tissue and bone defects at the fingertip, with satisfactory results. A literature review was also conducted.
Keywords: Free flap, Graft, Injury

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