Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2019; 7(17): 2562-2566
Published online Sep 6, 2019. doi: 10.12998/wjcc.v7.i17.2562
Supermicrosurgery in fingertip defects-split tibial flap of the second toe to reconstruct multiple fingertip defects: A case report
Ke-Lie Wang, Zi-Qing Zhang, Joseph A Buckwalter, Yi Yang
Ke-Lie Wang, Zi-Qing Zhang, Department of Microsurgery and Hand Surgery, the Longgang Orthopedics Hospital of Shenzhen, Shenzhen 518116, Guangdong Province, China
Joseph A Buckwalter, Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA 52240, United States
Yi Yang, Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong Province, China
Author contributions: Wang KL, Zhang ZQ and Yang Y were responsible for conception and design, acquisition of data and drafting the article and performed the surgery; Buckwalter JA revised the article.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yi Yang, MD, PHD, Surgeon, Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, No. 58 Zhongshan Road 2, Guangzhou 510080, Guangdong Province, China. 270382272@qq.com
Telephone: +86-20-28823388 Fax: +86-20-28823388
Received: March 29, 2019
Peer-review started: April 4, 2019
First decision: June 19, 2019
Revised: June 27, 2019
Accepted: July 20, 2019
Article in press: July 20, 2019
Published online: September 6, 2019
Core Tip

Core tip: Injuries to multiple fingertips pose a significant treatment dilemma. Numerous reconstructive options exist, all with the ultimate goal of restoring function and sensibility to the injured fingertips. We present a case of a split tibial flap of the second toe utilized to treat multiple fingertip injuries, resulting in satisfactory restoration of function and sensation. This report provides a novel reconstructive option for the management of multiple fingertip injuries and demonstrates the utility of supermicrosurgery in management of these injuries.