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Related Experiment Video

Updated: Jul 7, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
10:36

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

Published on: May 23, 2025

Partial second toe pulp free flap for fingertip reconstruction.

Dong Chul Lee1, Jin Soo Kim, Sae Hwi Ki

  • 1Kyung-Ki Do, Korea; and Ann Arbor, Mich. From the Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital, and the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System.

Plastic and Reconstructive Surgery
|March 5, 2008
PubMed
Summary

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Fingertip reconstruction using a partial medial second toe pulp free flap offers a successful method for preserving digital length and covering wounds. This technique demonstrates a high survival rate and minimal donor-site complications, making it a preferred treatment option.

Area of Science:

  • Microsurgery
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Presents clinical experience with short-pedicle partial medial second toe pulp free flaps for fingertip coverage.
  • Details surgical techniques to minimize operative time and donor-site morbidity.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of using partial medial second toe pulp free flaps for fingertip reconstruction.
  • To describe the surgical methodology and assess patient results.

Main Methods:

  • 929 partial second toe pulp free flaps were performed in 854 patients between April 1999 and September 2006.
  • Indications included covering exposed bone and unstable fingertip scars.
  • 156 patients underwent long-term assessment (>1 year) using two-point discrimination testing.

Related Experiment Videos

Last Updated: Jul 7, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
10:36

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

Published on: May 23, 2025

Main Results:

  • Overall flap survival rate was 99.7%.
  • Donor-site complications occurred in 59 cases (hematoma, wound separation), with no gait disturbance or pain reported.
  • Average static two-point discrimination at the recipient site was 8 mm.

Conclusions:

  • Shorter pedicle and smaller flap design reduce surgical time and morbidity.
  • This flap is a primary treatment for fingertip wounds, transferring similar pulp tissue.
  • Effective for preserving digital length and restoring fingertip function.