ABSTRACT
To repair a complexly injured hand with composite loss of the thumb and the thumb
web space in one stage, the combined transfer of a free second toe and a free deep
inferior epigastric perforator flap was designed. It was used to simultaneously reconstruct
the thumb and thumb web space of the injured hand in five cases. All flaps survived
and there were no complications at any donor site after the reconstructions. In follow-up
averaging 35.6 months, the final functional and cosmetic outcomes of the reconstructed
thumbs and thumb web spaces were satisfactory. Results demonstrated that the combined
transfer of a free second toe and a free deep inferior epigastric perforator flap
is a valid method for simultaneous reconstruction of the thumb and the thumb web space
of the injured hand.
