Abstract
Objective To introduce the surgical techniques of free transfer of second toe tibial skin flap for reconstruction of finger pulp defect.Methods From June 2011 to June 2013,24 patients with finger pulp defects of 25 fingers were treated by transfer of second toe tibial composite flap.The skin flaps used the tibial plantar digital proper artery of the second toe as the feeding vessel.The size of the skin flaps varied from 1.8 cm × 2.8 cm to 2.8 cm × 4.5 cm.The donor sites were covered by full thickness skin grafts.Results All the flaps transferred to reconstruct the 25 finger pulps in 24 patients survived uneventfully.Postoperative follow-up ranged from 8 months to 3 years,with an average of 12 months.The texture and shape of the reconstructed pulps were satisfactory.Two-point discrimination of the flaps (pulps) returned to 5 to 11 mm.Slight pigmentation of the skin grafts was noted at the donor toes.There was no impairment of walking.Conclusion Second toe tibial skin flap transfer is an ideal method to reconstruct finger pulp defects. Key words: Surgical flaps; Finger injuries; Pulp; Reconstruction
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