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[Reconstruction of nail folds by double pulp flap in congenital complete syndactyly release]
1Department of Hand Surgery, Fourth Hospital of Wuhan, Wuhan Hubei, P.R. China 430033.
Objective:
To introduce a surgical approach for reconstruction of nail folds in congenital complete syndactyly release.
Methods:
A narrow flap and a broad flap were raised on the common distal phalanx to cover the denuded nail-edge in 30 fingers of 15 cases whose webs were separated.
Results:
All of the flaps were successfully transferred and survived. The reconstructed nail folds had satisfied figure in 21 out of 30 fingers. The nail folds in the other 9 fingers, covered by a broad flap in 2 fingers and by a narrow flap in 7 fingers, were a little smaller than normal. All of the 30 fingers had normal fullness of pulp and no twisty nails.
Conclusion:
The reconstruction of nail folds by double pulp flap can be performed with a one-stage technique, and the outcome is satisfactory, which make it as a good surgical approach to reconstruct nail folds in congenital complete syndactyly release.