Finger reconstruction with vascularized partial osteo-onycho-cutaneous great toe transfer: It's time to address the donor site

Free vascularized partial great toe is a composite tissue consisting of the osteo-onycho-cutaneous component with neurovascular pedicle and is used for reconstructing amputated fingers at different levels. The half-big-toe nail flap represents that while it provides a good match and functional results; it also conserves the donor foot by having all five toes intact. The aesthetic and functional aspects of the amputated thumbs and fingers can be worked upon and significantly improved. We feel that all amputated fingers or thumbs at different zones or levels of amputation can be functionally reconstructed using vascularized tissue from the partial great toe and PIP joint from the 2nd toe. This conservative yet decisive surgery option keeps donor site functional morbidity to the minimum. Only that surgery must still look up to and progress in improving aesthetic reflection and functional elements for the larger benefit of the patients.