Digit pad transfers are a variation on transposition flaps, which are a type of subdermal plexus flap. Survival of subdermal plexus flaps depends on the deep or subdermal plexus entering the base of the flap, which in turn are supplied by the terminal branches of the direct cutaneous vessels. The major aim of a digit pad transfer is to reconstruct the weight bearing surface of the metacarpal or metatarsal pad. Digit pad transfer involves filleting out the phalangeal bones of either the second and/or fifth digit and transposing the digit pad and skin 90 to 180 degrees into the pad defect.


Case 1 - Metacarpal Pad Melanoma


Case 2 - Metacarpal Pad Mast Cell Tumor


Last updated on 6th March 2017