Fingertip reconstructions using partial-toe transfers

Fifty-six partial toes were transferred to reconstruct fingertip deficits. The transfers from the big toe mainly consisted of 3 trimmed big toetips, 3 vascularized nail grafts. 3 onychocutaneous flaps, 19 thin osteo-onychocut aneous flaps, and 2 hemipulp flaps. The transfers fi:om the second toe main ly consisted of 8 trimmed second toetips, 5 reduced second toes, and 9 whol e distal phalanges. The average values of postoperative sensory recovery of the osteo-onychocut aneous flaps including the vascularized nail grafts were 3.1 (Semmes-Weinst ein test) and 6.3 mm (moving two-point discrimination) at 2.6 years after t he transfer; those of the thin osteo-onychocutaneous flaps were 3.1 and 7.2 mm at 2.0 years after surgery; those of the trimmed big toe tip transfers were 3.61 and 6.5 mm at 1.8 years after surgery; and those of the trimmed s econd toetip transfers were 3.37 and 6.3 mm at 2.6 years after transfer. Th ose of the distal phalanx of the second toe were 3.41 and 7.9 mm at 1.2 yea rs after surgery, and those of the reduced second toe were 3.2 and 6.7 mm a t 10.6 months after surgery.