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Free peroneal flap coverage of the great toe defect resulting from a wrap-around flap transfer
Authors:F Hashimoto  S Nomura  S Yamauchi  K Shimamura  M Yoshimura
Abstract:In thumb reconstruction, the wrap-around free flap from the great toe with distal terminal phalanx attached gives a better replica of a thumb esthetically and functionally and has many advantages. However, there are problems in the great toe, such as delayed wound healing, pain caused by long-time walking, ulceration, and skin erosion. We closed the skin defect of the great toe with a free peroneal flap in seven cases. In all cases of both the wrap-around flap and peroneal flap complete healing was obtained after the operation without trouble. The donor great toe causes no significant morbidity.
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