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Free Toe Pulp Transfer for Digital Reconstruction after High-Pressure Injection InjuryFrom the Dandenong Hospital, Victoria, Australia Correspondence: S. K. Y. Tham FRACS, 29 Simpson Street, East Melbourne 3002, Victoria, Australia. We report two cases of high-pressure injection injuries to the fingertip in which free toe pulp flaps were used to resurface the palmar surface of the finger following extensive wound debridement. There was good return of sensibility and, because of the high durability of the donor skin, both patients regained good functional use of the injured digits and returned to heavy manual work. There was minimal associated morbidity of the donor sites. The free toe pulp flap represents an excellent alternative for resurfacing the digit with a large residual skin defect after high-pressure injection injury.
Journal of Hand Surgery (British and European Volume), Vol. 24, No. 5,
534-538 (1999) |
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