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[Case report: Great toe dorsal defect reconstruction by cross-toe flap].

Ann Chir Plast Esthet

May 2024

Service de chirurgie plastique, reconstructrice et esthétique, CHRU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy, France; Service de chirurgie orthopédique traumatologique et arthroscopique, CHRU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy, France.

Article Synopsis
  • Reconstruction of soft-tissue defects in the hallux (big toe) is crucial for maintaining walking ability.
  • A case study is presented involving a patient who received a cross-toe flap to cover a damaged joint after an open fracture.
  • The procedure resulted in positive functional outcomes, including fast wound healing and the ability to walk again soon after.
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Osteomyelitis is defined as infection of the bone and its marrow. It is more common in children due to growing bones and rich blood supply. Although long tubular bones are most common to get involved, no bone is exempted from acute hematogenous osteomyelitis and metatarsals account for 2% of all cases of acute hematogenous osteomyelitis.

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Toe joint transplantation is a valuable procedure for reconstruction of the PIP joint of the finger. The authors describe recent refinements in the surgical procedure that have permitted them to reduce the morbidity on the donor site and simplify the whole procedure. A single dorsal approach is used at a digital level, allowing exposure of the recipient vessels (palmar collateral artery and superficial dorsal vein) and resection of the joint remnants.

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