Fig. 4.

Reconstruction of post-traumatic contracted right little finger with ulnar parametacarpal flap, with pre-, intra- and postoperative photographs. A, Post-traumatic contracted right little finger. B, Design and marking of the ulnar parametacarpal flap. C, Flap elevated from proximal to distal. D, Judicious dissection of the perforator and 180-degree rotation. E, Flap after few days with intact vascularity. F: Donor site closed primarily. G, Stable coverage for the defect after 4 months. H, Good function of the PIP joint, although the patient still has rehabilitation sessions.