Digital reconstruction and donor site resurfacing: A two‐flap technique

Abstract

Use of a great toe pulp flap is one of the methods to repair partial soft-tissue defect of the thumb or other digits. However, the conventional application of free skin grafts to close the donor site may bring donor-site morbidity. The authors present a two-flap technique that a reverse first dorsal metatarsal artery (FDMA) flap resurfaces the defect of the free great toe pulp flap. Six patients with soft-tissue defects of the thumbs or fingers were treated with this technique. Both the pulp and reverse flaps survived uneventfully after reconstruction of the thumbs and fingers. The reverse flap to resurface the donor site on the great toe was sensate and durable. Satisfactory appearance and function were gained in all patients. Results revealed that this technique can be accepted as an alternative method when treating soft tissue defect of the thumb or finger.

Combined great toe dorsal nail-skin flap and medial plantar flap for reconstruction of degloved finger loss

“…Some efforts have been taken to decrease these morbidities with a necrotized superthin anterolateral thigh flap or other pedicled flaps. [22][23][24] Considering the simultaneous convenience, in our series, the groin flap and skin graft were harvested together with the iliac bone graft.…”

Prosthetic rehabilitation of amputated hallux after distraction osteogenesis

“…3 Currently, even a severely injured and traumatically amputated toe can be saved by microsurgical replantation. 2,4 In certain cases where this may not be possible for psychological, financial, functional, or rehabilitative reasons, a prosthesis may be provided to restore esthetics and offer psychological help. By restoring natural appearance, the prosthesis eliminates constant reminder of the disability and offers true psychological therapy.…”