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Digital reconstruction and donor site resurfacing: A two‐flap technique
Author(s) -
Kang Qinglin,
Chai YiMing,
Chen Weijia,
Zeng BingFang
Publication year - 2007
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.20389
Subject(s) - medicine , thumb , surgery , soft tissue , second toe , free flap , dorsum , digital artery , pulp (tooth) , anatomy , dentistry
Abstract 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. © 2007 Wiley‐Liss, Inc. Microsurgery, 2007.