Introduction:

There are numerous techniques for skin coverage in the substance loss of the digital ball. These include targeted scarring, total or partial skin grafts, V-Y and rectangular breakthrough flaps, neurovascularized direct or retrograde circulation, and joint´s partial microsurgical transplants.

Objective:

To present a case with loss of complex substance of the digital ball and the application of a neurovascularized flap of retrograde circulation.

Presentation of the case:

35-year-old male patient. He suffered an injury at the level of the distal phalanx of the index finger of the right hand and was diagnosed with a traumatic amputation in zone 2. The targeted scarring failed and maintained bone exposure, therefore, a neurovascularized flap of retrograde circulation was performed.

Conclusions:

The neurovascularized retrograde circulation flap is an option for complex losses of substance of the digital ball because it provides satisfactory results.

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