Volume 29, Issue 5, 2020
DOI: 10.24205/03276716.2020.1019
Clinical Effects Of Reconstruction Of Thumb Finger Pulp With Distal Fibular Flap Of The Great Toe
Abstract
This study investigates the clinical effects of reconstructing thumb finger pulp with the distal fibular flap of the great toe. Twenty-four patients admitted to Hand and Foot Surgery in our hospital from June 2014 to September 2018 were treated with the distal great toe fibular flap in the refurbishment of finger pulp. There were 19 males and 5 females. The patients ages are from 21 to 65 years, with mean age of 36.2 years. Causes of injuries were mechanical wounds in 11 cases, crushing injuries in 8 cases, and cutting injuries in 5 cases. The sizes of the finger pulp defects ranged from 1.5 cm × 2.0 cm ~ 3.0 cm × 3.2 cm. All 24 cases of flap survived without vascular crisis. The participant were followed up for 6 to 18 months (average of 12 months). There was no obvious scar formation on the reconstructed finger pulp. Additionally, the distal finger pulp was full of clear texture and wear-resistance. The two-point discrimination was 6-9 mm, with no complications in the donor area. The presence of the thumb finger pulp reconstructed with the free flap of the distal fibular side of the great toe was same to normal thumb finger pulp. Moreover, sensory function recovery was satisfactory. On the basis of the successful clinical recovery observed, we conclude that using a distal great toe fibular flap is a beneficial method to consider in the reconstruction of thumb pulp.
Keywords
Finger pulp defect, Distal fibular flap, Great toe, Thumb finger, Reconstruction