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Related Experiment Videos

Second toe plantar flap for partial finger reconstruction

Y Kimata1, M Mukouda, H Mizuo

  • 1Department of Plastic and Reconstructive Surgery, National Cancer Center East, Chiba, Japan.

Plastic and Reconstructive Surgery
|January 15, 1998
PubMed
Summary

Reconstructing finger defects using the second toe plantar flap offers excellent aesthetic and functional outcomes. This technique minimizes donor site morbidity, providing satisfactory sensory restoration and appearance.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Partial finger tissue defects pose challenges for reconstruction, requiring methods that restore both form and function.
  • Traditional reconstructive techniques may result in donor site morbidity and suboptimal aesthetic outcomes.

Observation:

  • The second toe plantar flap, a free neurovascular skin flap, is utilized for reconstructing partial finger tissue defects.
  • The flap incorporates artery and nerve from the plantar neurovascular bundle and a vein from the dorsal or plantar vein.

Findings:

  • This procedure yields satisfactory aesthetic and functional improvements at the recipient site.
  • Patients experience good aesthetic results with minimal donor site morbidity, including no contracture or visible scarring.

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  • All reconstructed cases demonstrated satisfactory sensory restoration and aesthetic appearance.

    • Implications:

    • The second toe plantar flap is an effective and advantageous option for finger tissue reconstruction.
    • This technique offers a balance between recipient site benefits and donor site preservation.
    • Further application of this method can enhance reconstructive surgery outcomes for digital defects.