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Hook nail deformity repaired using a composite toe graft.

P J Bubak1, M D Richey, L H Engrav

  • 1Division of Plastic Surgery, University of Washington, Seattle.

Plastic and Reconstructive Surgery
|December 1, 1992
PubMed
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A composite toe graft effectively reconstructs hook nail deformities caused by fingertip injuries. This surgical technique restores fingertip padding and improves cosmetic appearance with no donor-site complications.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Hand Surgery

Background:

  • Hook nail deformity results from fingertip bone and soft tissue loss.
  • Untreated, it leads to a displaced nailbed, tight fingertip, poor padding, and undesirable aesthetics.

Purpose of the Study:

  • To evaluate the efficacy of a composite toe graft for correcting hook nail deformities.
  • To assess graft viability, patient outcomes, and donor-site morbidity.

Main Methods:

  • A composite graft harvested from the second toe was placed beneath the released nailbed in nine patients.
  • Surgical technique focused on providing support and enhancing pulp substance of the affected fingertip.

Main Results:

  • All nine composite toe grafts achieved 100% viability.

Related Experiment Videos

  • One patient required a secondary graft for increased fingertip bulk.
  • No donor-site complications were reported during follow-up periods ranging from 1 month to 2 years.

    • Conclusions:

    • Composite toe grafting is a viable and effective method for reconstructing hook nail deformities.
    • The procedure offers good support, improved pulp substance, and satisfactory cosmetic results.
    • This technique presents minimal donor-site morbidity, making it a safe reconstructive option.