J Reconstr Microsurg 1998; 14(7): 453-457
DOI: 10.1055/s-2007-1000207
CASE REPORT

© 1998 by Thieme Medical Publishers, Inc.

Flow‐Through Vascularized Toe‐Joint Transfer for Reconstruction of Segmental Loss of an Amputated Finger

Isao Koshima, Kiichi Inagawa, Keiichiro Sahara, Kuniyoshi Tsuda, Takahiko Moriguchi
  • Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan
Further Information

Publication History

Accepted for publication 1998

Publication Date:
08 March 2008 (online)

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.

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