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Abstract
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.
Reference
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- Thumb replacement. Great toe transplantation by microvascular anastomosis.British Journal of Plastic Surgery. 1973; 26: 194
- Hallux-to-hand transfer.The Hand. 1975; 7: 128
- Reconstruction of the nail by microvascular free transfer from the toes.in: Pierre Maurice 1978: 149 (Paris)
- Neurovascular free flaps from the foot for innervation of the hand.Journal of Hand Surgery. 1978; 3: 235
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Copyright
© 1980 The Trustees of British Association of Plastic Surgeons. All rights reserved. Published by Elsevier Inc.
