Neurovascular pedicle transfers in the hand.

Summary The place of neurovascular island pedicles in reconstructive hand surgery is outlined. The concept of tactilegnosis in the hand is mentioned and the island pedicle flaps related to this concept. The types of neurovascular island pedicles are described. Their donor sites and their many indications are detailed. The technique of the neurovascular island pedicle flap is described. In conclusion, it can be stated that neurovascular island pedicles by their versatility and excellent blood and nerve supply have a widening place in the improvement of hand function. Their early use following median nerve repairs in adults is advocated.