Four-finger reconstruction with ten toes preservation: 5-year follow-up.

Shenqiang, Qiu; Jun, Sun; Zengtao, Wang · J Hand Surg Eur Vol · 2026

case_series · Level IV

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Abstract

Multi-digit defects are difficult to reconstruct. A 25-year-old man underwent staged four-finger reconstructions using composite flaps and iliac grafts. Good functional and aesthetic outcomes were achieved with preservation of all toes. This represents a novel and effective reconstructive strategy.