Abstract
It is not easy to decide whether covering soft tissue defect occurred in multiple adjacent fingers with a single, large flap and later secondary division of fingers or cover each digits independently in hand reconstruction. The authors reconstructed soft tissue defect of left second and third finger with medial plantar artery based medialis pedis and medial plantar chimeric free flap and it enabled early rehabilitation without secondary surgery to divide each fingers and get satisfactory result.
Figures and Tables
Fig. 1
(A) Preoperative photograph shows incomplete amputation of left index, long, ring finger. (B) Soft tissue defect of left index and long finger with exposed flexor tendon after primary surgery.
![jkssh-22-57-g001](/upload/SynapseData/ArticleImage/0149jkssh/jkssh-22-57-g001.jpg)
References
1. Okada M, Saito H, Kazuki K, Nakamura H. Combined medialis pedis and medial plantar fasciocutaneous flaps for coverage of soft tissue defects of multiple adjacent fingers. Microsurgery. 2014; 34:454–458.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
2. Tsai FC, Cheng MH, Chen HC, Wei FC. Microsurgical medialis pedis flaps for reconstruction of soft-tissue defects in the hand. Ann Plast Surg. 2002; 48:41–47.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
3. Chai YM, Wang CY, Wen G, Zeng BF, Cai PH, Han P. Combined medialis pedis and medial plantar fasciocutaneous flaps based on the medial plantar pedicle for reconstruction of complex soft tissue defects in the hand. Microsurgery. 2011; 31:45–50.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
4. Kim SW, Min WK, Hong JP, Chung YK. Combined medial plantar and medialis pedis chimeric flap for sole reconstruction. J Korean Soc Microsurg. 2000; 9:110–113.
5. Rodriguez-Vegas M. Medialis pedis flap in the reconstruction of palmar skin defects of the digits: clarifying the anatomy of the medial plantar artery. Ann Plast Surg. 2014; 72:542–552.