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

© 1989 by Thieme Medical Publishers, Inc.

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
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Publication History

Accepted for publication 1989

Publication Date:
08 March 2008 (online)

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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.