Homodigital Reverse Pedicle Island Flap for Reconstruction of the Great Toe: A Case Report

Hwang,  Jung Chul; Chung,  Duke Whan

doi:2011.20.1.64

Arch Hand Microsurg > Volume 20(1); 2011 > Article

Case Report

Journal of the Korean Society for Surgery of the Hand 2011;20(1):64-67.
Published online May 31, 2011.
DOI: https://doi.org/10.12790/jkssh.2011.20.1.64

Homodigital Reverse Pedicle Island Flap for Reconstruction of the Great Toe: A Case Report

Jung Chul Hwang, M.D., Duke Whan Chung, M.D.*

¹Department of Orthopedic Surgery, Seogwipo Medical Center, Jeju-do, Korea. cure@medigate.net
²Department of Orthopedic Surgery, School of Medicine, Kyung Hee University, Seoul, Korea.

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Abstract

Reconstruction of the distal portion of the great toe has always represented a difficult problem to surgeons. There are many methods of flap reconstruction described for foot defects, but none for tip of the great toe. We report a case of reconstruction of the great toe using a homodigital reverse pedicle island flap method. A 25-year-old man had a crushing injury at the distal phalanx of the left great toe. A homodigital reverse pedicle island flap was raised from the dorso-medial aspect of the proximal phalanx of the great toe based on the distal dorsal arcade. The flap covered the exposed distal phalanx and stump was closed without shortening. He made an uncomplicated recovery and when seen 6 months later he had a good cosmetic and functional result. A homodigital reverse pedicle island flap is described for the reconstruction of the distal part of the great toe. It involves only a single stage procedure with minimal donor site morbidity and provides a good cosmetic results.

Key Words: Great toe, Toe reconstruction, Homodigital reverse pedicle island flap