Littler's flap revisited: an anatomic study, literature review, and clinical experience in the reconstruction of large thumb-pulp defects.

Abstract

The heterodigital arterialized flap is a single-stage, thin, fairly mobile flap that produces an excellent cosmetic result, restores sensibility, and enables early mobilization of the hand. Morbidity in the donor finger is within acceptable limits and its usefulness in the reconstruction of thumb pulp defects is well documented.