title: Second toe microsurgical free-flap for aesthetic and sensory reconstruction of palmar soft tissue defects of fingers.
abstract: OBJECTIVE
  To illustrate the surgical methods and clinical efficacy of microsurgical free-flaps obtained from second toe for the reconstruction of palmar soft-tissue defect of fingers.
  
  
  METHODS
  We enrolled 22 patients (13 men and 9 women), who received second toe free-flap for 22 finger defects between August 2007 and July 2013. The average age was 35 years (range, 18-62 years). The average size of flap was 2.7 cm × 2.0 cm (range, 1.5 cm × 1.5 cm-3.5 cm × 2.5 cm).
  
  
  RESULTS
  All flaps survived well without any complications. Follow-up period ranged from 8 to 30 months (mean 15 months). The Visual Analog Scale for flap appearance (VAS flap) was ranged from 8 to 10 (average, 9.5). Based on the CISS questionnaires, 6 cases had mild cold intolerance. The average value of Michigan Hand Outcome Questionnaire (MHOQ) scoring for overall hand function was 8 (range, 5-13). The sensibility outcomes in 10 patients who underwent nerve repair were satisfactory. Average value of static two point discrimination (2PD) was 6.4 mm (range, 4-10 mm) and SWM test was 3.45 (range 2.83-4.12).
  
  
  CONCLUSIONS
  Second toe free micro-flap is a very useful and reliable alternative for the reconstruction of palmer soft-tissue defect of fingers.
  
  
  METHODS
  IV.
authors.affiliation: Department of Hand and Foot Surgery, Subei People's Hospital, Clinical Medical College of Yangzhou University, Yangzhou City, Jiangsu Province, 225001, PR China. Electronic address: gujiaxiang69@gmail.com.
authors.forename: Jia-xiang
authors.initials: JX
authors.lastname: Gu
authors.affiliation: College of Medicine, Yangzhou University, 11th Huaihai Road, Yangzhou City, Jiangsu Province, 225009, PR China.
authors.forename: Subhash
authors.initials: S
authors.lastname: Regmi
authors.affiliation: Department of Hand and Foot Surgery, Subei People's Hospital, Clinical Medical College of Yangzhou University, Yangzhou City, Jiangsu Province, 225001, PR China.
authors.forename: Nai-chen
authors.initials: NC
authors.lastname: Zhang
authors.affiliation: Department of Hand and Foot Surgery, Subei People's Hospital, Clinical Medical College of Yangzhou University, Yangzhou City, Jiangsu Province, 225001, PR China.
authors.forename: Hong-jun
authors.initials: HJ
authors.lastname: Liu
authors.affiliation: Department of Hand and Foot Surgery, Subei People's Hospital, Clinical Medical College of Yangzhou University, Yangzhou City, Jiangsu Province, 225001, PR China.
authors.forename: Wen-zhong
authors.initials: WZ
authors.lastname: Zhang
authors.affiliation: Department of Hand and Foot Surgery, Subei People's Hospital, Clinical Medical College of Yangzhou University, Yangzhou City, Jiangsu Province, 225001, PR China.
authors.forename: Tao
authors.initials: T
authors.lastname: Xu
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China; D015331:Cohort Studies; D016208:Databases, Factual; D005260:Female; D005383:Finger Injuries / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D058752:Free Tissue Flaps / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D017695:Soft Tissue Injuries / Q000175:diagnosis / Q000601:surgery*; D013997:Time Factors; D014034:Toes / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Finger soft-tissue defects; Microsurgical free-flap; Reconstruction; Second toe