Supermicrosurgery in fingertip defects-split tibial flap of the second toe to reconstruct multiple fingertip defects: A case report

Figure 1 Split tibial second toe flap. A: Three days after the first stage surgery, the wounds were clean and ready for free flap transfer; B: A 1.6 cm² × 4.5 cm² tibial second toe flap designed before operation; C: Harvested tibial second toe flap; D: Flap was split into three small flaps as F1, F2, and F3 under a microscope.

Figure 2 F3, F2, and F1 were transferred to middle, ring, and little fingertips with the one artery. A: F1, F2, and F3 flaps before transfer to recipient sites; B: Representative anastomosis of the vessels and nerve; C: F1, F2, and F3 flaps transferred to recipient sites.

Figure 3 Six months after the surgery. A: Palmar view; B: Dorsal view.