gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Repair of a long finger defect with transfer of a great toe flap combined with second toe joint and iliac bone graft

Meeting Abstract

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  • presenting/speaker Liwen Hao - Hand and Foot Surgical Center, Shandong Provincial Hospital, Shandong University, Jinan, China
  • Chao Chen - Hand and Foot Surgical Center, Shandong Provincial Hospital, Shandong University, Jinan, China
  • Zengtao Wang - Hand and Foot Surgical Center, Shandong Provincial Hospital, Shandong University, Jinan, China

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-644

doi: 10.3205/19ifssh1109, urn:nbn:de:0183-19ifssh11099

Veröffentlicht: 6. Februar 2020

© 2020 Hao et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: We present the method of repairing 32 fingers with a great toe flap combined with the proximal interphalangeal (PIP) joint of the second toe and the iliac bone graft.

Methods: Between January 2010 and January 2018, 32 fingers with traumatic loss distal to the metacarpophalangeal (MP) joint were reconstructed with transfer of a great toe flap was combined with the proximal interphalangeal (PIP) joint of the second toe and the iliac bone was grafted. The second toe was grafted with the iliac bone. The free groin flap was used to repair the skin defect of the great toe.

Results and Conclusions: 32 cases of reconstructed finger and free groin flap survived completely. 1 finger was re-explored 8 days post operation owing to arterial embolism. We found the reconstructed fingers has sufficient length, but not good enough sensation and finger joint motion. However, because of the normal MP joint, these reconstructed fingers still can have basic function.

Transfer of a great toe flap combined with PIP joint of second toe and iliac bone graft can be used for reconstruction of finger loss with acceptable outcomes. However, the range of active motion of the reconstructed finger and lack of good recovery of sensation remain problems of this method.