fig11

Figure 11. A diagram showing Littler’s flap harvest. (A) The thumb defect and the flap design on the ulnar aspect of the middle finger. (B) A zigzag incision is made and the neurovascular pedicle is exposed. (C) The flap is raised. (D) The flap reaches the defect under a skin tunnel, and the donor site is covered with a full-thickness skin graft.