Microsurgical reconstruction of fingers and fingertips

Free transfers from the foot have good indications for finger reconstruction in young, healthy, and well-motivated patients. The toes provide a unique source to reconstruct amputated or partly destroyed fingers. If the range of motion of the toe joints is quite disappointing from the roll up needed on the ulnar side of the hand, it can provide strong pinch with good sensibility on the radial aspect. This article reviews the different types of transfers, their results, and indications, and provides a description of the authors' basic surgical technique.