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J Reconstr Microsurg 1989; 5(4): 337-342
DOI: 10.1055/s-2007-1006883
ORIGINAL ARTICLE

© 1989 by Thieme Medical Publishers, Inc.

Free Vascularized Osteo-Onychocutaneous Flap for Reconstruction of the Distal Phalanx of the Fingers

Isao Koshima, Atsuya Ohno, Makoto Yamasaki
  • Departments of Plastic and Reconstructive Surgery and Orthopedic Surgery, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan and Department of General Surgery, Natogaya Hospital, Chiba, Japan
Further Information

Publication History

Accepted for publication 1989

Publication Date:
08 March 2008 (online)

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ABSTRACT

The “twisted toe flap” offers a solution for reconstruction of the distal phalanx of the fingers; however, a major problem with this method is that the second donor toe must be sacrificed. Two clinical cases are reported in which free vascularized “osteo-onychocutaneous” flaps modified with wrap-around flaps were successfully used. The use of the free vascularized osteo-onychocutaneous flap is suggested as a superior method of reconstruction for treating distal phalangeal loss in the fingers.

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