Logo image
Back
Supermicrosurgery in fingertip defects-split tibial flap of the second toe to reconstruct multiple fingertip defects: A case report
Journal article   Open access

Supermicrosurgery in fingertip defects-split tibial flap of the second toe to reconstruct multiple fingertip defects: A case report

Ke-Lie Wang, Zi-Qing Zhang, Joseph A. Buckwalter and Yi Yang
World journal of clinical cases, Vol.7(17), pp.2562-2566
09/06/2019
DOI: 10.12998/wjcc.v7.i17.2562
PMCID: PMC6745310
PMID: 31559293
url
https://doi.org/10.12998/wjcc.v7.i17.2562View
Published (Version of record) Open Access

Abstract

BACKGROUND Injuries to multiple fingertips pose a significant treatment dilemma. Numerous reconstructive options exist, all with the ultimate goal of restoring function and sensibility to the injured fingertips. CASE SUMMARY A 24-year-old male suffered injury to multiple fingertips of the right hand, resulting in exposed distal phalanges of the middle, ring, and small fingers. The amputated distal stumps were not possible for replantation. Free flap coverage was selected in order to achieve better functional outcome. The fingertip defects were covered by performing a right second toe split tibial flap using local anesthesia at the harvest site and brachial plexus nerve block for the right upper extremity. At 6-month follow-up, all three of the reconstructed fingertips had some preserved nail growth, Semmes-Weinstein Monofilaments testing was equal to the contralateral side and the Static Two-Point Discrimination were comparable to the contralateral side. CONCLUSION This report provides a novel reconstructive option for the management of multiple fingertip injuries and demonstrates the utility of supermicrosurgery in management of these injuries.
 General & Internal Medicine Life Sciences & Biomedicine Medicine, General & Internal Science & Technology

Details

Metrics

15 Record Views
2 Times Cited - Web of Science
Logo image