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Secondary Management of Nonnail Perionychial Deformities: Restoring Aesthetic and Functional Subunits
Nikola Lekic1, Luis Scheker2, David Netscher3
1Department of Orthopaedics, Baylor College of Medicine, 7200 Cambridge Street, Suite 10A, Houston, TX 77030, USA.
Abstract:
Delayed finger and thumb tip reconstruction should try to optimally reconstruct perioncyhial aesthetic and functional units by replacing tissue as closely resembling the original loss as possible. Avoid thinking in terms of a "reconstructive ladder" but rather going directly to the reconstructive choice that seems most suited to the task. Some reconstructive choices may seem more attractive because of their simplicity, but may not necessarily give the best functional and aesthetic result. Free flaps and the newer advancements with vascular island flaps give many more and versatile reconstructive options.
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