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Nailplasty using a distally based ulnar finger dorsum flap.

K Kasai¹, Y Ogawa

¹Department of Plastic and Reconstructive Surgery, Kansai Medical University, Osaka, Japan.

Aesthetic Plastic Surgery

|January 1, 1989

Summary

This study presents a surgical technique for reconstructing the nail fold and correcting scar contractures near the nail matrix. The method successfully restored nail fold aesthetics and nail plate shape.

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Area of Science:

Plastic Surgery
Hand Surgery
Reconstructive Surgery

Background:

Scar contractures proximal to the nail matrix can cause significant nail deformities.
Reconstruction of the nail fold is crucial for restoring both function and aesthetics.

Observation:

A case involving scar contracture proximal to the nail matrix was treated.
The surgical approach utilized a distally based ulnar finger dorsum flap and skin grafting.

Findings:

The reconstruction successfully created an aesthetically pleasing nail fold.
Release of the scar contracture corrected the nail plate deformity.
The distally based ulnar finger dorsum flap provided a viable option for nail fold reconstruction.

Implications:

This technique offers a potential solution for managing nail deformities caused by scar contractures.
It highlights the effectiveness of local flaps and skin grafting in hand reconstruction.
Further studies could explore the long-term outcomes and applicability in diverse patient populations.

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