ABSTRACT
A segmental finger defect was reconstructed in a 46-year-old woman with a free flow-through
vascular-ized toe-joint, including the proximal interphalangeal joint, the plantar
digital nerve, and tendons of the second toe. The advantages of this composite flap
are: (1) The segmental loss of the finger can be easily reconstructed to achieve a
normal anatomic structure. (2) Excellent cosmesis is achieved, compared with conventional
flaps such as the groin flap. (3) The distal segment of the donor toe can be preserved.
(4) The transected digital arteries of the amputated finger can be simultaneously
reconstructed with a flow-through arterial interposition. (5) The digital nerve can
be repaired with a vascularized plantar digital nerve graft.
