Vascularized second toe transfer is a useful surgical method for finger loss. The purpose of this paper is to report the clinical results of vascularized second toe transfer for traumatic distal finger loss. A retrospective case series of 10 digits belonging to 8 consecutive patients who underwent second toe transfer was conducted. The mean follow-up duration was 25 months. The number of injured fingers, waiting period for reconstruction, survival rate, and clinical outcomes, including the range of motion, grip strength, and return to work, were reviewed and analyzed. The severity of the injured hand was classified according to Piñal’s classification. The mean waiting period was 41 days. Ten toes were transferred and all toes survived. The mean final percentage of total active motion of the digits was 66.2% and the mean percentage of grip strength was 71.2% of the contralateral uninjured side. All injured hands were upgraded from the preoperative status by Piñal’s classification. Seven of 8 patients were able to return to their previous jobs. This study revealed that second toe transfer for distal finger loss is useful for functional recovery from severely injured hand and return to work.
