FREE MICROSURGICAL TOE PULP FLAP

The pulp of the toe provides a unique source to cover the fingertips with the same texture and mechanical receptors. Free microsurgical transfer is technically possible. Sensory reeducation can improve the discrimination of the donor site. We reviewed with a 7-year follow-up of 44 patients having a simple or composite toe pulp transfer. Mean age of the population was 22 years. 2PD was an average of 12 mm and Semmes Weinstein was 4.31 in 80% of cases. The result was not influenced by age, smoking habit, dominance, ray reconstructed or ischaemia time. Of significance was the number of arteries feeding the transfer, job activity and type of trauma.