The Tibial Second Toe Vascularized Neurocutaneous Free Flap for Major Digital Nerve Defects

Secondary restoration of fingertip sensation with Littler's heterodigital neurovascular island flap after ring avulsion injury: Report of two cases

“…A free toe pulp flap, first described by Buncke and Rose [14], led to satisfactory results because of good sensation restoration at the host site and limited morbidity [15,16]. But, this technique could not be performed here because of the large nerve defect.…”

Soft-Tissue Coverage of the Hand

“…Sensibility of transferred tissue is typically satisfactory following this procedure: static two-point discrimination ranges from 8 to 13 mm. [38][39][40] Some authors even report that flap sensibility is better following transfer than before harvest. 41,42 The advantages of this reconstruction are restoration of "like" tissue and typically acceptable return of sensibility.…”

Late Salvage of the Ischemic Finger After Crush Injury Using Flow-Through Flaps: Case Report

“…The index finger was revascularized by means of a neurocutaneous flap taken from the tibial side of the second toe. 3 Proximal and distal arterial anastomoses were carried out, as well as reconstruction of the radial digital nerve by interposing the tibial digital nerve. The middle finger was beyond salvage, but to preserve the skeleton and the proximal interphalangeal (PIP) joint, we performed a second toe wrap-around 4 with a proximal fascio-subcutaneous extension 5 in the same surgery.…”

“…To overcome the soft tissue defect and reconstruct the digital artery, we used a flowthrough second toe tibial-side neurovascular flap. 3 The flap was inset and the arterial flow was restored by means of the interposed tibial digital artery. The vein was passed dorsally and anastomosed to a subcutaneous vein in the web.…”