Background The fingertip, defined as the portion of the finger distal to the insertion of the flexor and extensor tendons, is the most commonly injured part of the hand. Although replantation is not always possible. Specialized structures of the fingertip make it critical for functions such as sensation, fine handling, and gripping. There is no such thing as the ideal flap, and a specific defect can be addressed with a variety of flaps with similar outcomes. Factors like age, sex, hand dominance and nature of work will influence the reconstructive plan. The difficulty often faced by surgeons is choosing the right flap for the right patient. It is important to be familiar with the treatment options available for such injuries in order to provide a good functional and aesthetic outcome for patient. Patient-oriented reconstructive plans are always essential, which fit the need of the patient with proper clinical guidance.
