Free neurovascular cutaneous toe pulp transfer for thumb reconstruction.
Free vascularized toe pulp transfer to the thumb is a technique to restore sensibility and durable soft tissue coverage to the thumb. This article reviews alternative techniques for coverage; the neurovascular anatomy of the great toe; and the technique of microvascular toe pulp transfer. Although the procedure is technically demanding, it provides excellent coverage with minimal donor morbidity.
Stern
P J
PJ
Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, OH 45206.
D006801:Humans; D013524:Surgical Flaps; D013933:Thumb / Q000098:blood supply / Q000293:injuries / Q000294:innervation / Q000601:surgery*; D014034:Toes / Q000098:blood supply / Q000637:transplantation*