Related Experiment Video
Updated: Jul 13, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Digital reconstruction and donor site resurfacing: a two-flap technique
Qing-Lin Kang1, Yi-Ming Chai, Weijia Chen
1Department of Orthopedic Surgery, Shanghai Sixth People's Hospital, Jiaotong University, Shanghai, People's Republic of China.
Microsurgery
|July 5, 2007
Summary
A novel two-flap technique using a reverse first dorsal metatarsal artery (FDMA) flap effectively repairs digital soft-tissue defects. This method minimizes donor-site morbidity, offering a viable alternative for thumb and finger reconstruction.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Great toe pulp flaps are used for thumb and digit soft-tissue defects.
- Conventional free skin grafts for donor sites can cause morbidity.
- A new technique aims to reduce donor-site complications.
Observation:
- A two-flap technique was employed, utilizing a reverse first dorsal metatarsal artery (FDMA) flap.
- This flap resurfaced the donor site of the great toe pulp flap.
- Six patients with thumb or finger defects underwent this procedure.
Findings:
- Both the pulp flap and the reverse FDMA flap survived successfully.
- The reverse flap provided a sensate and durable resurfacing for the great toe donor site.
- All patients achieved satisfactory aesthetic and functional outcomes.
Implications:
- This two-flap technique offers an effective alternative for digital soft-tissue reconstruction.
- It potentially reduces donor-site morbidity associated with traditional methods.
- The technique provides durable and sensate coverage, improving patient outcomes.