Table 3 Advantages and disadvantages

1. Using a bilobed flap for adjacent finger trauma reduces surgical complexity by requiring fewer blood vessel connections.

2. The length of the exposed vessel pedicle between the flaps allows for finger movement and helps prevent damage to the vascular pedicle.

3. Rapid granulation tissue growth in the donor area after covering the cell scaffold improves repair without the need for toe amputation or additional flap repair.

4. The narrow vascular pedicle between the flaps allows for easy trimming, resulting in aesthetically pleasing and functional fingers.

5. Nerve anastomosis provides satisfactory sensation restoration.

1. The blood vessel pedicle between the flaps needs to be cut twice.

2. The cell scaffold is costly and requires a second skin grafting surgery.

3. The vascular pedicle, although longer, cannot fully support normal finger movement, potentially causing temporary syndactylization.

4. Harvesting the first dorsal (plantar) metatarsal artery reduces the possibility of same-side toe transfer due to vascular deficiency during toe transplantation.