Partial Second Toe Pulp Flap Transfer for the Coverage of Great Toe Hemipulp Flap Donor Site

Area of Science:

• Reconstructive Microsurgery
• Plastic Surgery
• Orthopedic Surgery

Background:

• Great toe hemipulp flap transfer is a recognized method for finger pulp defects.
• Challenges include ensuring early functional recovery of the donor foot and achieving satisfactory reconstruction of the donor site.

Observation:

• A case study involving a 62-year-old man with a little finger pulp crush amputation.
• The patient received a free great toe hemipulp flap transfer.
• The donor site defect was addressed using a pedicled partial second toe pulp flap transfer.

Findings:

• The patient experienced an uneventful postoperative recovery, ambulating by postoperative day 2.
• The transferred great toe flap demonstrated excellent sensory recovery.
• The reconstructed great toe site was both functionally and aesthetically satisfactory.

Implications:

• Pedicled partial second toe pulp flap transfer presents a viable alternative for great toe hemipulp flap donor site reconstruction.
• This technique may enhance early functional recovery and aesthetic outcomes for patients undergoing toe-to-hand reconstruction.