Evidence map›Paper›PMID 40642266›Full record

ArticlePlastic and reconstructive surgery. Global open2025

The Free Chimeric Great Toe and Second Toe Pulp Flap for Reconstruction of Complex Digital Defects.

Luigi Troisi, Stephanie Hili, Alessandro Mastroiacovo, Francesco Zanchetta, Macarena Vizcay, Giorgio E Pajardi

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Luigi TroisiFrom the Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy.
Stephanie HiliFrom the Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy.
Alessandro MastroiacovoFrom the Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy.
Francesco ZanchettaFrom the Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy.
Macarena VizcayFrom the Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy.
Giorgio E PajardiFrom the Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Toe-to-hand transfers have been extensively described in the literature and are nowadays a fairly common tool in the armamentarium of the reconstructive hand surgeon. Despite this, little has been reported about the chimeric use of flaps based on the first dorsal metatarsal artery. We report here an innovative technique for harvesting the great toe and second toe pulps in a chimeric fashion, which we have found particularly useful in reconstructing digital defects in cases of complex hand trauma involving multiple digits. We describe the technique for flap harvest and illustrate its usefulness through 4 cases of complex hand trauma where we have successfully used it to retain length and function of the digits.

Identifiers

PMID40642266
PMCPMC12245311

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.