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Related Experiment Videos

Nail lengthening and fingertip amputations.

Roberto Adani1, Ignazio Marcoccio, Luigi Tarallo

  • 1Department of Orthopedic Surgery, University of Modena and Reggio Emilia, Italy. adani.roberto@unimo.it

Plastic and Reconstructive Surgery
|September 25, 2003
PubMed
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Reconstructing fingertip injuries with nail bed involvement is challenging. Combining local flaps with the eponychial flap offers a viable solution for functional and aesthetic nail restoration.

Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Fingertip injuries require diverse treatment strategies, including flaps, skin grafts, and primary closure.
  • Nail bed involvement presents a significant challenge in fingertip reconstruction, impacting treatment selection.
  • Reconstructing the fingernail apparatus is notably more complex than pulp restoration.

Purpose of the Study:

  • To evaluate the efficacy of a combined surgical technique for fingertip injuries involving the nail bed.
  • To assess the functional and aesthetic outcomes of using local flaps with the eponychial flap for nail apparatus reconstruction.

Main Methods:

  • A retrospective review of 12 cases of fingertip injuries with nail bed involvement treated between 1998 and 2001.
  • Utilized a combination of local flaps (Tranquilli-Leali and Venkataswami) and the eponychial flap for reconstruction.

Related Experiment Videos

  • The eponychial flap, a backward cutaneous translation flap, was employed to lengthen the nail plate.

    • Main Results:

    • The combined technique successfully addressed fingertip injuries with nail bed involvement.
    • Satisfactory functional and aesthetic results were achieved in nail plate lengthening and overall nail apparatus appearance.
    • The eponychial flap proved to be a simple yet effective method for nail reconstruction, adaptable with various pulp reconstruction flaps.

    Conclusions:

    • The combination of local flaps and the eponychial flap is a reliable method for reconstructing fingertip injuries with nail bed involvement.
    • This technique offers a good solution for restoring both the pulp and the nail apparatus, enhancing functional and aesthetic outcomes.
    • The eponychial flap is a versatile and straightforward addition to reconstructive strategies for complex fingertip injuries.