Nail flaps for microsurgical aesthetic reconstruction of thumb and donor site of great toe

Abstract

We describe a case of mutual transpositional transfers of toe and thumb in an attempt to restore the aesthetic appearance of the thumb with a deformity of the nail. The reconstructed thumb with the skin-nail flap from the great toe gave an excellent result both aesthetically and functionally, and the nail grew normally. The donor site of the great toe that was covered with the skin-nail flap from the thumb healed satisfactorily. This is another option for donor site management, the results of which are good, but the indications are under discussion.

Key Words::

• Transpositional transfer
• skin-nail flap
• toe to thumb
• aesthetic reconstruction
• microsurgery

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.