Microsurgical free toe pulp transfer for digital reconstruction.
Posttraumatic fingertip reconstruction with a free toe pulp neurovascular flap, first described in 1979, has not been frequently reported. We present our results with 8 free transfers of the toe pulp and demonstrate the successful restoration of a well-padded and sensitive fingertip. All patients, studied with a follow-up of up to 20 months, recovered a discriminative sensibility of the thumb and main fingers, with a stationary two-point discrimination test between 5 and 12 mm and a moving two-point discrimination test between 4 and 8 mm. In spite of the good results obtained, we believe this procedure must be chosen only in certain circumstances. We present the indications and the contraindications for this digital reconstruction.
Deglise
B
B
Service de Chirurgie Plastique et Reconstructive, Centre des brûlés, Lausanne, Switzerland.
Botta
Y
Y
D000328:Adult; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008866:Microsurgery; D013524:Surgical Flaps / Q000379:methods*; D014034:Toes / Q000098:blood supply / Q000601:surgery*; D014656:Vascular Surgical Procedures