Retrospective analysis of repair of finger soft tissue defect with free dorsal foot and toe flap

This study investigates the clinical effect of the great toe fibular free flap transplantation for the repair of the volar soft tissue defect of the finger. Retrospective observation was made on the efficacy of 6 patients who received toe and plantar flap repair for palmar soft tissue defects from January 2023 to June 2025. All the flaps survived. The color of the flaps was similar to the surrounding skin, the texture was soft, and the appearance was satisfactory. In the postoperative follow-up, the two-point discrimination of the transplanted flap was 5 to 9 mm, and the excellent and good rate was 100% according to the trial standard of the upper limb function evaluation of the Hand Surgery Society of the Chinese Medical Association. The donor site wound healed well, with no ulceration and no abnormal gait. The great toe fibular skin flap has the advantages of stable vascular anatomical position, simple operation, beautiful appearance and good feeling after operation, which is a good surgical method for repairing the skin and soft tissue defects of the palmar side of the finger and is worthy of clinical application.