Transfer of toe-tip composite tissue combined with lateral toe flap to repair fingertip defect

Abstract

Objective To discuss the treatment outcome of repairing fingertip defects using toe-tip composite tissue combined with lateral toe flap transfer. Methods Sixteen cases of thumb or finger tip composite tissue defects were treated.Second Toe-tip composite tissue combined with lateral toe flap were designed based on the proper toe artery and the nail plica fascial-vascular pedide and then transferred to cover the fingertip defect. Results All Sixteen cases survived.Pustoperative follow-up ranged from 4 to 17 months with an average of 12 months.Functional recovery of the finger was fiue.Two-point discrimination of the flaps was 4 mm to 9 mm.The reconstructed fingertips looked like normal fingers,with good appearance and growth of the nail.The donor toes had normal nail growth.Was pain free and did not have skin ulcers.Conclusion Second toe-tip composite tissue combined with lateral toe flap transfer is a good procedure for repairing fingertip composite defects in that it leads to good appearance and minor donor site morbidity. Key words: Surgical flaps; Finger injuries; Microsurgery; Reconstruction