Free vascularized osteoonychocutaneous flap for reconstruction of the distal phalanx of the fingers.
The "twisted toe flap" offers a solution for reconstruction of the distal phalanx of the fingers; however, a major problem with this method is that the second donor toe must be sacrificed. Two clinical cases are reported in which free vascularized "osteo-onychocutaneous" flaps modified wrap-around flaps were successfully used. The use of the free vascularized osteo-onychocutaneous flap is suggested as a superior method of reconstruction for treating distal phalangeal loss in the fingers.
Koshima
I
I
Department of Plastic and Reconstructive Surgery, University of Tsukuba, Ibaraki, Japan.
Ohno
A
A
Yamasaki
M
M
D000293:Adolescent; D005385:Fingers / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D013524:Surgical Flaps; D014034:Toes / Q000601:surgery*