Toe artery terminal branch island flap for finger reconstruction and remodeling

Abstract

Objective To study the feasibility of using toe artery terminal branch island flap for remodeling and reconstruction of finger shape. Methods From March 2008 to December 2009,19 fingers of 17 cases that were reconstructed by toe transfer had the toe artery terminal branch island flap inserted in the neck of the second toe during the toe transfer surgery to correct the appearance deficit caused by the narrow area. Results All 19 reconstructed fingers and the inserted toe artery terminal branch island flaps survived after the surgery. Donor site wound had primary healing. Postoperative follow-up lasted 6 to 17 months,with an average of 8 months. The appearance of reconstructed fingers was greatly improved. There was good recovery of pulp sensation,with two-point discrimination being 8 to 12 mm. Patients feel quite satisfied. Conclusion Toe artery terminal branch island flap corrects the deficit in appearance of fingers the palm side of the finger. Key words: Transplantation; Toes; Surgery,plastic; Finger reconstruction