Second Toe Plantar Free Flap for Volar Tissue Defects of the Fingers
A 21-year-old male suffered a third-degree electrical burn to the right ring finger on the proximal volar surface and underwent post-wound debridement for tissue necrosis. Over the ensuing weeks, the resulting soft-tissue defect developed into a flexion contracture over the proximal interphalangeal joint (). The contracted scar tissue was removed, and the neurovascular bundle was found to be unaffected.\nA plantar free flap transfer was performed as described as above (). The flap artery was anastomosed in an end-to-side fashion. The flap subcutaneous vein was anastomosed to the subcutaneous vein found in the proximal margin of the recipient wound. The digital nerve, which was harvested along with the plantar digital artery, was not anastomosed in this case. The remaining portion of the operation was completed as previously described.\nPostoperatively, the patient recovered well without complications. The involved digit showed a full passive range of motion at follow-up visits ().