title: Reconstruction of distally degloved fingers with a cross-finger flap and a composite-free flap from the dorsum of the second toe.
abstract: OBJECTIVE
  In this article, we report the reconstruction of degloved fingers using a combination of a cross-finger flap and a composite-free flap from the dorsal aspect of the second toe.
  
  
  METHODS
  From May 2006 until April 2009, we treated 18 degloved fingers in 18 patients (13 male and 5 female patients; mean age, 22 y) using the technique. There were 11 index and 7 ring fingers. The mean volar and dorsal defects were 2.5 × 1.9 cm and 2.7 × 2 cm, respectively. The cross-finger flaps ranged in size from 2.3 × 1.6 cm to 3.5 × 2.6 cm, with a mean of 2.8 × 2.3 cm. The flaps from the dorsal second toe ranged in size from 2.4 × 2.1 cm to 4.5 × 2.3 cm, with a mean of 3.0 × 2.2 cm. At follow-up, we assessed motion and sensation.
  
  
  RESULTS
  All cross-finger and free flaps survived. At final follow-up (mean, 17 mo; range, 14-25 mo), motion in the injured fingers averaged 102° and 28° at the proximal and distal interphalangeal joints, respectively. The mean static 2-point discrimination of the reconstructed finger pulps was 5 mm (range, 4-7 mm).
  
  
  CONCLUSIONS
  The combination of a cross-finger flap and a composite-free flap from the dorsum of the second toe is a useful and reliable technique for reconstruction of a degloved finger.
  
  
  METHODS
  Therapeutic IV.
authors: Hand Surgery Department, Second Hospital of Tangshan, Tangshan, Hebei, China. drwangbin@sina.com
authors: Bin
authors: B
authors: Wang
authors: Xu
authors: X
authors: Zhang
authors: Wenping
authors: W
authors: Jiang
authors: Tiepeng
authors: T
authors: Ma
authors: Hao
authors: H
authors: Li
authors: Hui
authors: H
authors: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D005383:Finger Injuries / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009048:Motor Skills; D017060:Patient Satisfaction; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D013524:Surgical Flaps; D014034:Toes; D016896:Treatment Outcome; D055815:Young Adult