Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Clinical and esthetic outcomes of free toe pulp flaps for fingertip reconstruction: A systematic review and meta-analysis of flap survival.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS·2026
Same author

Specialty representation and interdisciplinary collaboration in hand surgery research over four decades.

The Journal of hand surgery, European volume·2026
Same author

Osteocutaneous free flaps for reconstruction of composite hand defects: A systematic review of clinical and functional outcomes.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS·2026
Same author

Squamous Cell Carcinoma of the Scalp Following Synthetic Hair Implantation: A Structured Narrative Review and the Seventh Case Reported in Literature.

Cureus·2026
Same author

Exposing the Hidden Nail: Matrix-Sparing Secondary Exposure After Adipofascial Flap Reconstruction of Distal Fingertips.

The Journal of hand surgery·2026
Same author

Revision Mastopexy in Aesthetic Breast Surgery.

Aesthetic plastic surgery·2026

Related Experiment Video

Updated: Sep 16, 2025

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
10:42

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

Published on: January 28, 2020

6.6K

The Free Chimeric Great Toe and Second Toe Pulp Flap for Reconstruction of Complex Digital Defects.

Luigi Troisi1,2, Stephanie Hili1, Alessandro Mastroiacovo1,2

  • 1From the Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy.

Plastic and Reconstructive Surgery. Global Open
|July 11, 2025
PubMed
Summary

This study introduces a novel chimeric flap technique using the great and second toe pulps for complex hand trauma reconstruction. This method effectively restores length and function to injured digits.

More Related Videos

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

11.9K
Fabrication of the Composite Regenerative Peripheral Nerve Interface C-RPNI in the Adult Rat
10:35

Fabrication of the Composite Regenerative Peripheral Nerve Interface C-RPNI in the Adult Rat

Published on: February 25, 2020

8.4K

Related Experiment Videos

Last Updated: Sep 16, 2025

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
10:42

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

Published on: January 28, 2020

6.6K
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

11.9K
Fabrication of the Composite Regenerative Peripheral Nerve Interface C-RPNI in the Adult Rat
10:35

Fabrication of the Composite Regenerative Peripheral Nerve Interface C-RPNI in the Adult Rat

Published on: February 25, 2020

8.4K

Area of Science:

  • Microsurgery
  • Plastic Surgery
  • Orthopedic Surgery

Background:

  • Toe-to-hand transfers are established reconstructive techniques.
  • Limited literature exists on chimeric flaps utilizing the first dorsal metatarsal artery.

Purpose of the Study:

  • To present an innovative chimeric flap technique for digital reconstruction.
  • To evaluate the efficacy of using great and second toe pulps for complex hand defects.

Main Methods:

  • Harvesting chimeric flaps based on the first dorsal metatarsal artery.
  • Utilizing the great toe and second toe pulps for reconstruction.
  • Documenting the surgical technique and outcomes in case studies.

Main Results:

  • Successful reconstruction of digital defects in four patients with complex hand trauma.
  • Demonstrated preservation of digit length and function post-transfer.
  • Highlighted the versatility of the chimeric flap for multiple digit injuries.

Conclusions:

  • The chimeric great and second toe pulp flap is a valuable technique for complex hand trauma.
  • This innovative approach offers a viable solution for digital reconstruction, preserving function and length.