Digital reconstruction and donor site resurfacing: a two-flap technique.
Use of a great toe pulp flap is one of the methods to repair partial soft-tissue defect of the thumb or other digits. However, the conventional application of free skin grafts to close the donor site may bring donor-site morbidity. The authors present a two-flap technique that a reverse first dorsal metatarsal artery (FDMA) flap resurfaces the defect of the free great toe pulp flap. Six patients with soft-tissue defects of the thumbs or fingers were treated with this technique. Both the pulp and reverse flaps survived uneventfully after reconstruction of the thumbs and fingers. The reverse flap to resurface the donor site on the great toe was sensate and durable. Satisfactory appearance and function were gained in all patients. Results revealed that this technique can be accepted as an alternative method when treating soft tissue defect of the thumb or finger.
Kang
Qing-Lin
QL
Department of Orthopedic Surgery, Shanghai Sixth People's Hospital, Jiaotong University, Shanghai, People's Republic of China.
Chai
Yi-Ming
YM
Chen
Weijia
W
Zeng
Bing-Fang
BF
D000293:Adolescent; D000328:Adult; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008684:Metatarsus / Q000098:blood supply; D008875:Middle Aged; D017695:Soft Tissue Injuries / Q000601:surgery; D013524:Surgical Flaps; D013933:Thumb / Q000601:surgery; D014034:Toes / Q000601:surgery*; D014945:Wound Healing