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Quadrant Flap for Fingertip Reconstruction in Macrodactyly: Technique and Case Report
Ricardo Kaempf DE Oliveira1, João Pedro Farina Brunelli2, Francisco Soldado3
1Santa Casa de Misericórdia Hospital, Porto Alegre, Brazil.
The Journal of Hand Surgery Asian-Pacific Volume
|July 9, 2022
Summary
Macrodactyly treatment requires individualized approaches. A novel
Area of Science:
- Hand surgery
- Plastic surgery
- Congenital anomalies
Background:
- Macrodactyly is a rare and challenging condition.
- Treatment is highly individualized based on severity and location.
- Nail preservation is crucial for aesthetic and psychological outcomes.
Observation:
- A novel surgical technique, the 'quadrant flap', was employed.
- This involved a z-shaped flap, nail quadrant preservation, bone shortening, and arthrodesis.
- The technique addresses digit size, volume, and nail/pulp reconstruction.
Findings:
- The 'quadrant flap' technique yielded good functional and aesthetic results.
- It effectively reduces digit size and volume.
- Reconstruction of the nail complex and finger pulp was successful.
Implications:
- This technique offers a viable reconstructive option for macrodactyly.
- It improves both the functional and aesthetic outcomes of digit reconstruction.
- Preserving nail integrity positively impacts patient self-esteem.
