Atasoy Flap Reconstruction in the Management of Multiple Finger Tip Injuries: A Case Report

Fingertips are very useful in social expression, exploration, and hand protection. Injuries affecting this part of the hand require a protective functional restoration which in multiple digital involvements requires using larger flap options, mainly from the abdominal and chest walls. The use of Atasoy flap is mainly for solitary cases. This report aims to show the successful use of the Atasoy flap to reconstruct multiple fingertip injuries.
We present a right-handed adolescent male who sustained multiple fingertip injuries to the middle, ring, and little fingers, and extensor zone 1 injury of the thumb of the left hand from a milling machine accident. He had fingertip reconstruction with Atasoy flap on a single theatre session with a satisfactory outcome.

指尖在社交表达、触感探索与手部防护中均发挥着关键作用。累及手部指尖的损伤需要实施保护性功能修复；当损伤累及多个手指时，需选用较大面积的皮瓣，供区主要来源于腹壁与胸壁。Atasoy皮瓣（Atasoy flap）多用于单发损伤病例。本报告旨在展示采用Atasoy皮瓣成功修复多指尖损伤的案例。
本次报告纳入一名右利手青春期男性患者，其因铣床事故导致左手中指、环指、小指多发指尖损伤，同时合并左手拇指伸肌1区损伤。患者于单次手术中采用Atasoy皮瓣完成指尖修复，术后疗效满意。