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Related Experiment Videos

Second toe wrap-around flap.

F C Wei1, H C Chen, D C Chuang

  • 1Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.

Plastic and Reconstructive Surgery
|November 1, 1991
PubMed
Summary
This summary is machine-generated.

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The microsurgical second toe wrap-around flap effectively reconstructs finger defects, offering rapid functional recovery and excellent aesthetic results for patients needing skin and nail restoration.

Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Reconstructive Surgery

Background:

  • Finger injuries often involve circumferential loss of skin and nail, posing reconstructive challenges.
  • The proximal interphalangeal joint and flexor digitorum superficialis tendon integrity are crucial for function.
  • Microsurgical techniques offer potential solutions for complex digital defects.

Observation:

  • The second toe wrap-around flap was utilized for finger reconstruction.
  • The technique addressed circumferential skin and nail loss.
  • Patients had an uninjured proximal interphalangeal joint and intact flexor digitorum superficialis tendon.

Findings:

  • Follow-up of 13 flaps in 10 patients (1986-1989) showed positive outcomes.
  • All patients achieved rapid and adequate functional recovery.

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  • Satisfactory aesthetic appearance was noted in all cases.

    • Implications:

    • The microsurgical second toe wrap-around flap is a viable option for distal finger reconstruction.
    • This technique provides both functional and aesthetic restoration.
    • It highlights the utility of toe-to-hand transfers in complex digital defects.