The Free Chimeric Great Toe and Second Toe Pulp Flap for Reconstruction of Complex Digital Defects
Summary:. Toe-to-hand transfers have been extensively described in the literature and are nowadays a fairly common tool in the armamentarium of the reconstructive hand surgeon. Despite this, little has been reported about the chimeric use of flaps based on the first dorsal metatarsal artery. We repo...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2025-07-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006954 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1839617004272615424 |
|---|---|
| author | Luigi Troisi, MD, PhD, FEBOPRAS, FACS Stephanie Hili, MD, FRCS(Eng) Alessandro Mastroiacovo, MD Francesco Zanchetta, MD Macarena Vizcay, MD Giorgio E. Pajardi, MD |
| author_facet | Luigi Troisi, MD, PhD, FEBOPRAS, FACS Stephanie Hili, MD, FRCS(Eng) Alessandro Mastroiacovo, MD Francesco Zanchetta, MD Macarena Vizcay, MD Giorgio E. Pajardi, MD |
| author_sort | Luigi Troisi, MD, PhD, FEBOPRAS, FACS |
| collection | DOAJ |
| description | Summary:. Toe-to-hand transfers have been extensively described in the literature and are nowadays a fairly common tool in the armamentarium of the reconstructive hand surgeon. Despite this, little has been reported about the chimeric use of flaps based on the first dorsal metatarsal artery. We report here an innovative technique for harvesting the great toe and second toe pulps in a chimeric fashion, which we have found particularly useful in reconstructing digital defects in cases of complex hand trauma involving multiple digits. We describe the technique for flap harvest and illustrate its usefulness through 4 cases of complex hand trauma where we have successfully used it to retain length and function of the digits. |
| format | Article |
| id | doaj-art-a2635475a9ba42bca2ac36dbf3c47d92 |
| institution | Matheson Library |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-a2635475a9ba42bca2ac36dbf3c47d922025-07-25T06:40:09ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-07-01137e695410.1097/GOX.0000000000006954202507000-00012The Free Chimeric Great Toe and Second Toe Pulp Flap for Reconstruction of Complex Digital DefectsLuigi Troisi, MD, PhD, FEBOPRAS, FACS0Stephanie Hili, MD, FRCS(Eng)1Alessandro Mastroiacovo, MD2Francesco Zanchetta, MD3Macarena Vizcay, MD4Giorgio E. Pajardi, MD5From the * Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, ItalyFrom the * Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, ItalyFrom the * Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, ItalyFrom the * Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, ItalyFrom the * Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, ItalyFrom the * Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, ItalySummary:. Toe-to-hand transfers have been extensively described in the literature and are nowadays a fairly common tool in the armamentarium of the reconstructive hand surgeon. Despite this, little has been reported about the chimeric use of flaps based on the first dorsal metatarsal artery. We report here an innovative technique for harvesting the great toe and second toe pulps in a chimeric fashion, which we have found particularly useful in reconstructing digital defects in cases of complex hand trauma involving multiple digits. We describe the technique for flap harvest and illustrate its usefulness through 4 cases of complex hand trauma where we have successfully used it to retain length and function of the digits.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006954 |
| spellingShingle | Luigi Troisi, MD, PhD, FEBOPRAS, FACS Stephanie Hili, MD, FRCS(Eng) Alessandro Mastroiacovo, MD Francesco Zanchetta, MD Macarena Vizcay, MD Giorgio E. Pajardi, MD The Free Chimeric Great Toe and Second Toe Pulp Flap for Reconstruction of Complex Digital Defects Plastic and Reconstructive Surgery, Global Open |
| title | The Free Chimeric Great Toe and Second Toe Pulp Flap for Reconstruction of Complex Digital Defects |
| title_full | The Free Chimeric Great Toe and Second Toe Pulp Flap for Reconstruction of Complex Digital Defects |
| title_fullStr | The Free Chimeric Great Toe and Second Toe Pulp Flap for Reconstruction of Complex Digital Defects |
| title_full_unstemmed | The Free Chimeric Great Toe and Second Toe Pulp Flap for Reconstruction of Complex Digital Defects |
| title_short | The Free Chimeric Great Toe and Second Toe Pulp Flap for Reconstruction of Complex Digital Defects |
| title_sort | free chimeric great toe and second toe pulp flap for reconstruction of complex digital defects |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006954 |
| work_keys_str_mv | AT luigitroisimdphdfeboprasfacs thefreechimericgreattoeandsecondtoepulpflapforreconstructionofcomplexdigitaldefects AT stephaniehilimdfrcseng thefreechimericgreattoeandsecondtoepulpflapforreconstructionofcomplexdigitaldefects AT alessandromastroiacovomd thefreechimericgreattoeandsecondtoepulpflapforreconstructionofcomplexdigitaldefects AT francescozanchettamd thefreechimericgreattoeandsecondtoepulpflapforreconstructionofcomplexdigitaldefects AT macarenavizcaymd thefreechimericgreattoeandsecondtoepulpflapforreconstructionofcomplexdigitaldefects AT giorgioepajardimd thefreechimericgreattoeandsecondtoepulpflapforreconstructionofcomplexdigitaldefects AT luigitroisimdphdfeboprasfacs freechimericgreattoeandsecondtoepulpflapforreconstructionofcomplexdigitaldefects AT stephaniehilimdfrcseng freechimericgreattoeandsecondtoepulpflapforreconstructionofcomplexdigitaldefects AT alessandromastroiacovomd freechimericgreattoeandsecondtoepulpflapforreconstructionofcomplexdigitaldefects AT francescozanchettamd freechimericgreattoeandsecondtoepulpflapforreconstructionofcomplexdigitaldefects AT macarenavizcaymd freechimericgreattoeandsecondtoepulpflapforreconstructionofcomplexdigitaldefects AT giorgioepajardimd freechimericgreattoeandsecondtoepulpflapforreconstructionofcomplexdigitaldefects |