The fingernails are important not only aesthetically but also to maintain a pinch. With the development of finger reconstruction by partial toe transfer, partial distal finger defects can be reconstructed by using a skin-nail flap.
We reconstructed seven amputated fingers (three 1st toes, one 2nd toe, one 3rd toe, one 4th toe, and one 5th toe) by using a free wrap-around flap (two cases), partial toe transfer (four cases), and fourth toe transfer (one case). Closure of the donor site on the leg was performed by using a peroneal perforator flap (three cases), cross-toe flap (three cases), and full-thickness skin graft (one case).
All the transplanted flaps survived. The DASH scores were good, with an average of 9.75 points in our cases, which we further investigated. In the four cases, the mean moving-2PD was 10 mm, and the mean Semmes-Weinstein test score was 4.25.
The clinical results were satisfactory both cosmetically and functionally.
