Application of free modified first toe web skin flap for repair of finger web defect

Objective To explore the repair method and clinical efficacy of finger web defect of hand. Methods From January 2014 to December 2017, 7 cases with finger web defects were repaired by the first toe web flaps. Full-thickness abdominal skin grafts were used in all donor sites. Results All the 7 flaps survived and the donor site healed well. The follow-up period ranged from 6 to 12 months with an average of 8 months. The appearance and sensation of the free first toe web flaps recovered well after the operation. There was no obvious contracture in the reconstructed finger webs. The abduction angle was close to the normal finger web. There was no obvious scar hyperplasia in the donor site, and the walking function of the foot was good. Conclusion It is a better method to repair finger web defect with the first toe web skin flap, which can achieve satisfactory appearance and function of the hand. Key words: Surgical flaps; Transplantation; Finger webs; Microsurgery