Clinical research of thumb reconstruction with transplantation of the second toe after plastic operation

Objective To introduce a new method for thumb reconstruction with transplantation of the second toe after plastic operation.Methods Local transfer flap was designed and embedded in reconstructed finger on fibular side to enlarge its circumference and the simepulp flap was designed and inserted into reconstructed finger on plantar side to eliminate middle stenosis in 12 cases according to the anastomosis between dorsal digital arteries and proper plantar digital arteries in superficial fascia.The second toe was transplanted to reconstruct the thumb after plastic operation.Results All the 32 toe local transfer flaps in 12 cases survived and the shape of the reconstructed thumb was satisfactory.Conclusion It is a good method to reconstruct thumb using the second toe reshaped by local transfer flap.