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Fingertip reconstruction with a dorsal transposition flap
1Department of Orthopaedic Surgery, Nagoya University School of Medicine, Japan.
British Journal of Plastic Surgery
|October 1, 1991
Summary
Dorsal transposition flaps reliably restore fingertip function and appearance after traumatic amputation. This one-stage surgical method promotes nail regrowth and preserves aesthetics.
Area of Science:
- Plastic Surgery
- Hand Surgery
- Reconstructive Surgery
Background:
- Traumatic fingertip amputations, especially those involving the nailbed, present challenges for functional and aesthetic reconstruction.
- Preserving the fingertip's form and function is crucial for patient quality of life.
Purpose of the Study:
- To evaluate the efficacy of dorsal transposition flaps for fingertip reconstruction.
- To assess the functional and aesthetic outcomes of this surgical technique.
Main Methods:
- A dorsal transposition flap was utilized for fingertip reconstruction in 10 patients.
- Patients had sustained traumatic oblique or transverse amputations involving the nailbed.
Main Results:
- All ten surgical reconstructions were successful.
- One flap experienced a minor area of tip necrosis.
- Consistent flat nail growth was observed, averaging 5 mm of regrowth.
- Both functional and aesthetic preservation of the fingertip were achieved.
Conclusions:
- Dorsal transposition flap is a reliable, single-stage procedure for fingertip reconstruction.
- This method effectively restores both function and aesthetics following traumatic amputations.
- The technique promotes satisfactory nail regrowth.