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Reconstruction of the Distal Finger with Partial Second Toe Transfers by Means of an Exteriorised Pedicle

From the Institut de la Main, Paris, France, Laboratoire d’Anatomie Biomedicale des Saints Peres, Universite’ Rene’ Descartes, Paris, France and Istituto di Chirurgia Plastica, Policlinico Multimedica, Sesto SanGiovanni, Milan, Italy

Correspondence: F. Brunelli, Institut de la Main, 6, Square Jouvenet, 75016 Paris, France. E-mail: francescobrunelli{at}hotmail.com.

This study reports the outcome of a series of ten microsurgical fingertip reconstructions with partial toe transfers in which the vascular pedicle was exteriorised and subsequently excised after the transfer had become established. The aim of this technique was to provide better aesthetic and functional outcomes. The technique was successful and without complication in nine of the ten patients who had excellent functional and aesthetic outcomes. Arterial thrombosis resulted in partial necrosis of the fingertip in the other case.

Key Words: toe transfer • fingers • exteriorised pedicle • nail • microsurgery

Journal of Hand Surgery (European Volume), Vol. 33, No. 4, 457-461 (2008)
DOI: 10.1177/1753193408090392


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