Microvascular toe transfer for cleft-foot plasty: eight-year follow-up.

No exact equivalent procedure has been developed for cleft-foot plasty. In the case of a four-year-old boy, the plasty was achieved by using microvascular toe transfer from a contralateral side that was amputated. Eight years postoperatively, the longitudinal growth of the grafted toe is symmetric, compared to the recipient toes, and the appearance of the treated foot is quite natural. The patient can run with a prosthesis on the amputated leg. It is suggested that utilization of parts from a useless extremity is important to reconstruct the other extremity.