Free Lateral Great Toe XXXX for the Reconstruction of Finger Pulp Defects.

@entity1 @entity154 @entity1912
UNASSIGNED: Introduction   The aim of this study was to evaluate the esthetic and sensory outcomes after reconstruction of finger @entity154 with free toe flaps from the lateral aspect of the great toe. Methods   From June 2006 to October 2011, we performed 48 free toe pulp transfers for finger pulp reconstruction in 43 @entity1 ; 18 male and 25 female @entity1 with a mean age of 31.8 years (range, 16-47 years). Six @entity1 suffered multiple @entity154 and five received two synchronous pulp transfers. The defects involved 20 thumbs, 15 index fingers, 10 long fingers, and 4 ring fingers, and @entity1912 size ranged from 24   *   18 to 55   *   30 mm. Follow-up evaluation included the functional and esthetic outcomes of the reconstructed pulps and donor toes. Results   All but one @entity1912 survived completely. Overall, 32 cases (35 pulp flaps) were followed for more than 1   year (range, 12-48 months; average, 22.8 months). The Semmes-Weinstein sensitivity score was 2.83 to 4.74 at the flaps and the mean static two-point discrimination was 6.17   mm (range, 3-10 mm). A total of 13 @entity1 (40.6%) experienced mild (10 cases) to moderate (3 cases) cold intolerance, and 1 @entity1 (3.1%) suffered severe cold intolerance. According to the Michigan Hand Outcome Questionnaire the mean esthetic appearance score was 16 (range, 12-19). Conclusion   The free neurovascular great toe pulp @entity1912 is an efficient and reliable @entity1912 for the reconstruction of finger @entity154 .
