ABSTRACT
<p><b>OBJECTIVE</b>To investigate an ideal method for finger reconstruction with extended the second toe flap transfer.</p><p><b>METHODS</b>The second toe free flap was created, combined with an pedicled skin flap from the fibular side of the great toe inlaid in the ventral side of the second toe, a double-wing flap and the distal part of the metatarsal bone. The composite free flap was transferred by vascular anastomosis for finger reconstruction.</p><p><b>RESULTS</b>The reconstructed finger exhibited nice looking and better function. The procedure had little influence to the appearance and function of the donor foot.</p><p><b>CONCLUSION</b>This method is effective in ameliorating the appearance and function of the reconstructed finger with the second toe transfer.</p>