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[Case report: Great toe dorsal defect reconstruction by cross-toe flap]
C Couvercelle1, G Bilger1, E Simon1
1Service de chirurgie plastique, reconstructrice et esthétique, CHRU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy, France; Service de chirurgie orthopédique traumatologique et arthroscopique, CHRU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy, France.
Reconstructing hallux soft-tissue defects with a cross-toe flap effectively restored locomotor function after an open fracture. This reliable technique facilitated rapid wound healing and a swift return to walking.
Area of Science:
- Orthopedic surgery
- Reconstructive surgery
Background:
- Hallux soft-tissue defect reconstruction is critical for maintaining locomotor function.
- Regional flaps are a viable option for small defects.
Observation:
- A patient with an exposed hallux proximal interphalangeal joint due to an open fracture required soft-tissue reconstruction.
- A cross-toe flap was utilized for the reconstruction.
Findings:
- The cross-toe flap provided successful coverage for the exposed joint.
- The procedure resulted in a satisfying functional outcome.
- The flap demonstrated reliability and ease of execution.
Implications:
- This case highlights the efficacy of the cross-toe flap for hallux reconstruction.
- The technique promotes rapid wound healing and functional recovery, enabling early ambulation.
- It offers a valuable reconstructive option for similar hallux injuries.
