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Related Experiment Videos

Nail relocation by nail flap in digital injuries

B V Krishna, A D Pelly

    British Journal of Plastic Surgery
    |January 1, 1982
    PubMed
    Summary

    Relocating an intact fingernail as a vascularized flap is preferable to pulp replacement for acute finger injuries. This method avoids hyposensitive pulp and nail deformities, offering a better outcome than amputation.

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    Area of Science:

    • Hand surgery
    • Reconstructive surgery
    • Trauma surgery

    Background:

    • Pulp replacement procedures, like cross-finger flaps, can result in hyposensitive pulp and nail deformities.
    • Amputation through the middle phalanx head is an alternative for acute finger injuries.

    Observation:

    • The nail complex, when intact and undamaged, presents an opportunity for alternative surgical approaches.

    Findings:

    • Relocating the nail as a vascularized flap is a superior alternative to pulp replacement techniques.
    • This flap-based nail relocation preserves pulp sensation and avoids the "parrot-beak" nail deformity.

    Implications:

    • Vascularized nail flap relocation should be considered the preferred method for acute finger injuries with intact nail complexes.
    • This technique offers improved functional and aesthetic outcomes compared to traditional pulp replacement or amputation.

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