Aesthetic and Functional Results From Nailfold Recession Following Fingertip Amputations

Xing, Shuliang; Shen, Zhe; Jia, Weiping; Cai, Yan-xian

doi:10.1016/j.jhsa.2014.09.010

Cited by 9 publications

(2 citation statements)

References 12 publications

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“…In addition, the donor area comes from the palm, and scar formation increases the impact on the palmar aesthetics of the hand. Xing et al [ 15 ] designed a rectangular flap in the nail epithelium, combined with the finger pulp, to promote the skin flap in thirty clinical applications. By increasing the exposure of the nail root from 0.3 to 0.4 cm, although the appearance of the nail was restored, the normal length of the nail and finger was still missing because the defects of the nail bed and fingertip had not been restored.…”

Section: Discussionmentioning

confidence: 99%

The reconstruction of fingertip injury by mini hallux toenail flap pedicled with the hallux transverse artery and toe pulp vein transplantation technique based on the equivalent design theory

Fan,

Zhou,

Zhou

et al. 2023

BMC Surg

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Introduction How to reconstruct the damaged fingertip is a clinical problem. Our team propose the theory of equivalent design and use the mini toenail flap pedicled with the hallux transverse artery and toe pulp vein transplantation technique to reconstruct Allen’s type II fingertip injury. Thus, we perform the retrospective study to evaluate the effects of this technique on fingertip injury. Materials and methods A retrospective analysis was performed on 56 patients admitted to our hospital from January 2015 to January 2020 who used equivalently designed miniature hallux toenail flaps for the plastic repair of fingertip damage. We recorded the size of the miniature hallux toenail flap, operation time, intraoperative blood loss, and complications and calculated the survival rate of the transplanted miniature hallux toenail flap. During routine follow-up after surgery, we recorded nail growth time and observed finger appearance. At the last time of follow-up, we recorded Semmes-Weinstein evaluating tactile sensation and Two-point discrimination testing (TPD). The efficacy was evaluated by Zook score evaluation. Results The size of the mini hallux toenail flap was 0.71 cm × 1.22 cm to 0.88 cm × 1.71 cm. The operation time was (3.54 ± 0.58) hours, the intraoperative blood loss was (20.66 ± 4.87) ml, and the survival rate of mini hallux toenail flaps was 100%. The postoperative follow-up time was (30.82 ± 11.21) months, and the total nail growth time was (9.68 ± 2.11) months. The average tactile sensation evaluated by the Semmes-Weinstein test was (0.32 ± 0.14) g, and the average TPD was (7.33 ± 1.02) mm. According to Zook score, the curative effect of fifty-six cases were all excellent or good with 100% excellent and good rate, and all patients had beautiful appearances and good function of damaged fingertips. Conclusions Based on the equivalent design theory, the mini hallux toenail flap pedicled with the hallux transverse artery and toe pulp vein transplantation technique is an effective method to reconstruct Allen’s type II fingertip injury with a beautiful appearance and good function. Type of study/level of evidence Therapeutic IV.

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Section: Discussionmentioning

confidence: 99%

The reconstruction of fingertip injury by mini hallux toenail flap pedicled with the hallux transverse artery and toe pulp vein transplantation technique based on the equivalent design theory

Fan,

Zhou,

Zhou

et al. 2023

BMC Surg

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“…The importance to reconstruct this small, conspicuous, yet important functional part of the digit has been emphasized frequently in the past. [1][2][3][4][5][6][7][8][9][10][11][12][13]…”

Section: Introductionmentioning

confidence: 99%

Transverse Eponychial Flap For Nail Lengthening And Fingertip Reconstruction

Manadhar

2023

J. Soc. Surg. Nepal

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Introduction: Fingertip injuries are frequented with loss of pulp and nail complex. Most reconstructive procedures provide either the soft tissue defect coverage or lengthen the nail. Methods: Patients included were more than 10 years of age with fingertip injury of Allen type III and IV with intact eponychium. Transverse Eponychial Flap was used to lengthen the nail lost as well as provide defect coverage. Paired t test, chi square test and Pearson correlation and Mann Whitney test were used for statistical analysis. Results: Seventeen digits were analyzed. The average lengthening of the nail achieved was 142.4%. The average nail length during follow up was 59.1% of contralateral, with average final nail lengthening achieved was 31%. Reconstruction with Transverse Eponychial flap alone was performed in 58.8% of digits. Four patients (23.52%) had complete near normal nail. Sixteen digits had satisfactory and higher results. With Transverse Eponychial Flap alone it was possible to completely cover 10 fingertips (58.8%), requiring local flaps or skin graft for the remaining cases. Obliquely orientated injuries (76.47%) were more likely to undergo the procedure. Conclusion: The flap significantly lengthens the nail, and provides satisfactory results. We recommend the use of this flap in defects with Allen type III and IV fingertip injuries.

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Tissues Mass Replantation of the Index and Middle Fingers

Zhang

2021

Practical Microsurgery Cases

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Aesthetic and Functional Results From Nailfold Recession Following Fingertip Amputations

Cited by 9 publications

References 12 publications

The reconstruction of fingertip injury by mini hallux toenail flap pedicled with the hallux transverse artery and toe pulp vein transplantation technique based on the equivalent design theory

The reconstruction of fingertip injury by mini hallux toenail flap pedicled with the hallux transverse artery and toe pulp vein transplantation technique based on the equivalent design theory

Transverse Eponychial Flap For Nail Lengthening And Fingertip Reconstruction

Tissues Mass Replantation of the Index and Middle Fingers

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