Free toe pulp transfer for digital reconstruction after high-pressure injection injury

We report two cases of high-pressure injection injuries to the fingertip in which free toe pulp flaps were used to resurface the palmar surface of the finger following extensive wound debridement. There was good return of sen sibility and, because of the high durability of the donor shin, both patien ts regained good functional use of the injured digits and returned to heavy manual work. There was minimal associated morbidity of the donor sites. Th e free toe pulp flap represents an excellent alternative for resurfacing th e digit with a large residual skin defect after high-pressure injection inj ury.