title: Closure of the second toe transfer donor site without disruption of the deep transverse metatarsal ligament.
abstract: The second metatarsal is routinely excised to facilitate closure of the defect created by the harvest of a second toe transfer. However, if the deep transverse metatarsal ligament is not disrupted by the harvest, it seems unnecessarily destructive to remove the metatarsal. A small arterialized venous flap provides a logical solution to the problem of wound closure in this circumstance. This paper describes such a reconstruction, discusses the reasons for its selection and the long term outcome, which has been very satisfactory.
authors.affiliation: Department of Plastic Surgery, Aberdeen Royal Infirmary, Foresterhill, Scotland, United Kingdom.
authors.forename: H R
authors.initials: HR
authors.lastname: Webster
authors.forename: C J
authors.initials: CJ
authors.lastname: Inglefield
mesh_terms: D000328:Adult; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008022:Ligaments / Q000293:injuries*; D008297:Male; D008682:Metatarsal Bones; D013524:Surgical Flaps; D014034:Toes / Q000637:transplantation*