A New Surgical Method to Reconstruct the Fingertip.

Abstract:

BACKGROUND:In our previous study, we used cross finger fascial flap combined with split-thickness toe nail bed graft to reconstruct large area defect of the nail bed with distal phalanx exposure. Fingertip avulsions are common injuries to the upper extremity and cause a great deal of distress for patients. Replantation, amputation and flap coverage are considered. However, all these methods have their limitations. METHODS:Five patients with fingertip avulsions were enrolled. We used the methods mentioned above combined with the reversed pedicled island flap to covered the defects of both the dorsal and volar sides and reconstruct the fingertip. RESULTS:All the 5 patients were followed for at least 3 months. The blood supply of the flaps and nail bed is good. All the patients were satisfied with their new fingertips. CONCLUSIONS:The method we introduced in this study is proved to be an effective surgical method for fingertip avulsions.

journal_name

Ann Plast Surg

authors

Yang J,Yu C,Jia X

doi

10.1097/SAP.0000000000002002

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

647-649

issue

6

eissn

0148-7043

issn

1536-3708

journal_volume

83

pub_type

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