A review of the Turned-down Onto Pericapsular-tissue Hemisectioned Amputated Toe (TOPHAT) flap for wound coverage during ray amputations of the toes

•A fillet flap can be obtained from the toe planned for ray amputation if the medial skin is viable.•This application of “spare part surgery” helps to reduce the overall wound burden.•This flap protects the adjacent MTPJ whilst allowing the residual wound bed to benefit from TNPWT.•This flap can be performed on patients with significant peripheral vascular disease.