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Free vascularized nail graft under digital block
I Koshima1, S Itoh, Y Takahashi
1Department of Plastic and Reconstructive Surgery, Okayama University Medical School, Okayama City, Japan.
Journal of Reconstructive Microsurgery
|December 12, 2001
Summary
This study introduces a minimally invasive vascularized toenail graft technique. This approach, utilizing a short pedicle and digital block anesthesia, offers a less invasive alternative for nail reconstruction.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Traditional vascularized toenail grafts often require long vascular pedicles.
- General anesthesia is typically necessary for these complex procedures.
Observation:
- A novel technique for minimally invasive vascularized nail grafting was developed.
- This method employs a short vascular pedicle and a small cutaneous flap.
Findings:
- Successful transfer of the vascularized nail graft was achieved.
- The procedure was performed effectively under local anesthesia (digital block) for both fingers and toes.
Implications:
- This technique may reduce the need for general anesthesia in nail reconstruction.
- It offers a potentially less invasive and more accessible option for patients requiring vascularized nail grafts.