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Does Graft on Flap Method Work on Sequela of Fingertip Amputation?
11 Department of Orthopaedic Surgery, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan.
The Journal of Hand Surgery Asian-Pacific Volume
|September 7, 2016
Summary
The graft on flap method for fingertip reconstruction showed poor bone resorption results in a long-term study. This technique is not yet optimal for restoring short fingertip stumps after initial amputations.
Area of Science:
- Orthopedic surgery
- Reconstructive surgery
Background:
- The graft on flap method is a surgical technique used for fingertip amputation restoration.
- This study evaluated its application in reconstructing short fingertip stumps post-amputation stump plasty.
Observation:
- A modification involved using a big toe nail bed graft and an iliac bone graft.
- These were used instead of composite grafts for lost tissues in fresh cases.
Findings:
- Long-term follow-up (1-8 years) revealed complete resorption of the grafted bone in all patients.
- The graft on flap method did not achieve acceptable results for these specific reconstructions.
Implications:
- Current graft on flap modifications are insufficient for reconstructing short fingertip stumps after initial stump plasty.
- Further research is needed to develop effective reconstructive strategies for these challenging cases.
