Homodigital Reverse Pedicle Island Flap for Reconstruction of the Great Toe: A Case Report.
- Author:
Jung Chul HWANG
1
;
Duke Whan CHUNG
Author Information
1. Department of Orthopedic Surgery, Seogwipo Medical Center, Jeju-do, Korea. cure@medigate.net
- Publication Type:Case Report
- Keywords:
Great toe;
Toe reconstruction;
Homodigital reverse pedicle island flap
- MeSH:
Adult;
Cosmetics;
Foot;
Humans;
Tissue Donors;
Toes
- From:Journal of the Korean Microsurgical Society
2011;20(1):64-67
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Reconstruction of the distal portion of the great toe has always represented a difficult problem to surgeons. There are many methods of flap reconstruction described for foot defects, but none for tip of the great toe. We report a case of reconstruction of the great toe using a homodigital reverse pedicle island flap method. A 25-year-old man had a crushing injury at the distal phalanx of the left great toe. A homodigital reverse pedicle island flap was raised from the dorso-medial aspect of the proximal phalanx of the great toe based on the distal dorsal arcade. The flap covered the exposed distal phalanx and stump was closed without shortening. He made an uncomplicated recovery and when seen 6 months later he had a good cosmetic and functional result. A homodigital reverse pedicle island flap is described for the reconstruction of the distal part of the great toe. It involves only a single stage procedure with minimal donor site morbidity and provides a good cosmetic results.
