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The great toe provides an ideal source of tissue for both functional and aesthetic reconstruction of segmental defects in the thumb and can be used without mutilation of the foot.
A successful case is presented of a 1-stage primary reconstruction of a segmental defect of the thumb using a composite free flap transfer from the great toe containing pulp, tissue, nail and bone, with neurovascular anastomosis. The donor defect on the great toe was repaired at the same time.
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© 1980 The Trustees of British Association of Plastic Surgeons. All rights reserved. Published by Elsevier Inc.