Free Vascularized Osteo-Onychocutaneous Flap for Reconstruction of the Distal Phalanx of the Fingers

Isao Koshima; Atsuya Ohno; Makoto Yamasaki

doi:10.1055/s-2007-1006883

Journal of Reconstructive Microsurgery, Inhaltsverzeichnis

J Reconstr Microsurg 1989; 5(4): 337-342
DOI: 10.1055/s-2007-1006883

ORIGINAL ARTICLE

Free Vascularized Osteo-Onychocutaneous Flap for Reconstruction of the Distal Phalanx of the Fingers

Isao Koshima, Atsuya Ohno, Makoto Yamasaki

Departments of Plastic and Reconstructive Surgery and Orthopedic Surgery, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan and Department of General Surgery, Natogaya Hospital, Chiba, Japan

Abstract

ABSTRACT

The “twisted toe flap” offers a solution for reconstruction of the distal phalanx of the fingers; however, a major problem with this method is that the second donor toe must be sacrificed. Two clinical cases are reported in which free vascularized “osteo-onychocutaneous” flaps modified with wrap-around flaps were successfully used. The use of the free vascularized osteo-onychocutaneous flap is suggested as a superior method of reconstruction for treating distal phalangeal loss in the fingers.

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