Immediate Distal Digit Reconstruction with Short Vascular Pedicled Partial Toe Transfer

Park,  Sun Hee; Kim,  Hak Soo; Kim,  Seong Eon

doi:2012.21.1.27

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Original Article

Journal of the Korean Society for Surgery of the Hand 2012;21(1):27-33.
Published online May 31, 2012.
DOI: https://doi.org/10.12790/jkssh.2012.21.1.27

Immediate Distal Digit Reconstruction with Short Vascular Pedicled Partial Toe Transfer

Sun Hee Park, M.D., Hak Soo Kim, M.D., Seong Eon Kim, M.D.

Department of Plastic and Reconstructive Surgery, Pohang SM Christianity Hospital, Gyeongsangbuk-do, Korea. pskim690@naver.com

짧은 혈관경을 가진 부분 족지 전이술을 이용한 수지첨부의 즉시 재건

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Abstract

  We studied the results of the immediate microsurgical reconstruction of the distal digit injury with short vascular pedicled partial toe transfer.
  Thirteen patients with amputation or crush injury of the distal digit who underwent partial toe transfer at the authors' institute over 8-year period were reviewed. Delay between initial injury and reconstruction ranged from 1 to 9 days. All flaps were harvested on a short vascular pedicle, with anastomoses performed at a proximal interphalangeal joint level on the fingers and metacarpophalangeal joint level on the thumbs.
  Good to excellent cosmetic and functional results were obtained in all cases, with nearly normal-looking fingertip. The mean static two point discrimination was 10 mm.
  Immediate reconstruction with short vascular pedicled partial toe transfer is an excellent option for the reconstruction of the compostie defect of the distal digit.

Key Words: Fingertip, Toe transfer

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