J Reconstr Microsurg 2004; 20(8): 615-619
DOI: 10.1055/s-2004-861520
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Successful Reconstruction of the Ring Finger Using a Twisted Toe Flap

Hiroaki Nakazawa1 , Motohiro Nozaki1 , Yuji Kikuchi1 , Takashi Honda1 , Tsukasa Isago1 , Kenji Sasaki2
  • 1Departments of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo
  • 2Departments of Plastic and Reconstructive Surgery, Nihon University, Tokyo, Japan
Further Information

Publication History

Publication Date:
03 January 2005 (online)

ABSTRACT

There have been many case reports of thumb reconstruction using wraparound flaps, toe-to-thumb transfer, and twisted toe flaps but, to the authors' knowledge, there have been no previous reports of reconstruction of total ring finger deficit. In this report, they present a case of successful reconstruction of the ring finger amputated proximal to the proximal-interphalangeal joint, using a twisted toe flap and simultaneous application of a free groin flap to the donor site. Use of the modified twisted toe flap is suggested to be a cosmetically useful method for reconstruction of the ring finger.

REFERENCES

  • 1 Morrison W A, O'Brien B M, Macleod A M. Thumb reconstruction with a free neurovascular wrap-around flap from the big toe.  J Hand Surg. 1980;  5 575-583
  • 2 Doi K, Hattori S, Kawai S. Thumb reconstruction with a wrap-around flap from the great toe and illiac bone graft.  Jap J Orthoped Surg. 1981;  32 1635-1638
  • 3 Buncke H J, Rose E H. Free toe-to fingertip neurovascular flaps.  Plast Reconstr Surg. 1979;  63 607-612
  • 4 Cobett J R. Free digital transfer. Report of a case of transfer of a great toe to replace an amputated thumb.  J Bone Joint Surg. 1969;  51B 677-679
  • 5 Foucher G, Merle M, Maneaud M, Michon J. Microsurgical free partial toe transfer in hand reconstruction: a report of 12 cases.  Plast Reconstr Surg. 1980;  65 616-626
  • 6 Tsai T M, Aziz W. Toe-to-thumb transfer: a new technique.  Plast Reconstr Surg. 1991;  88 419-153
  • 7 Iglesias M, Butron P, Serrano A. Thumb reconstruction with extended twisted toe flap.  J Hand Surg. 1995;  20 731-736
  • 8 Kurihara K, Hayashi H, Matsui M, Kobayashi M. Thumb and finger reconstruction with free toe tissue transfer.  J Jpn Soc Reconstr Microsurg. 2002;  15 187-195
  • 9 Cho B C, Lee D H, Park J W, Byun J S, Balk B S. Second toe to index finger transfer.  Br J Plast Surg. 2000;  53 324-330

Hiroaki NakazawaM.D. 

Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University

8-1, Kawado Cho, Shinjyuku Ku

Tokyo, Japan

    >