Abstract：
We report the results of using a fibula-sided digital artery pedicled flap from the great toe to cover the second toe free flap donor site, which avoids delayed wound healing, and prevents pain and skin ulceration. This study included 15 patients who had second toe wrap-around free flaps to reconstruct thumb and finger defects. All 15 pedicled flaps used to cover the defect healed uneventfully. All patients were able to stand and walk and were satisfied with the postoperative aesthetic outcome at the 6-month follow-up. We conclude that this an effective procedure for preventing donor site defects after second toe wrap-around free flap transfer.Level of evidence: IV.
摘要：
我们报告了从大脚趾使用腓骨侧指动脉蒂皮瓣覆盖第二个脚趾游离皮瓣供体部位的结果，避免了伤口延迟愈合，并防止疼痛和皮肤溃疡。这项研究包括15例患者，这些患者使用了第二个脚趾包裹的游离皮瓣来重建拇指和手指缺损。用于覆盖缺损的所有15个带蒂皮瓣均顺利愈合。所有患者均能够站立和行走，并且在6个月的随访中对术后美学结果感到满意。我们得出的结论是，这是防止第二次脚趾包裹自由皮瓣转移后供体部位缺陷的有效方法。证据级别：IV。
