Flaps in nail surgery

Jellinek, Nathaniel J.

doi:10.1111/j.1529-8019.2012.01507.x

Cited by 9 publications

(4 citation statements)

References 33 publications

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“…The bipedicle advancement flap is most commonly used (Figure 8A), followed by the unilateral or bilateral sliding flap 23 (Figure 8B). A bilateral A-T advancement flap can be utilized for proximal germinal matrix defects 23 (Figure 8C).…”

Section: Germinal Matrix Flapmentioning

confidence: 99%

“…The bipedicle advancement flap is most commonly used (Figure 8A), followed by the unilateral or bilateral sliding flap 23 (Figure 8B). A bilateral A‐T advancement flap can be utilized for proximal germinal matrix defects 23 (Figure 8C). This procedure is performed easily in an anatomic position, as there is no tension on the epithelium, and it is simple to realign the margins.…”

Section: Reconstructive Surgery Techniquesmentioning

confidence: 99%

“…The flaps are sharply undermined in the subdermal plane over the dorsal phalanx and then advanced or rotated, followed by suture without tension. The bipedicle advancement flap is most commonly used (Figure 8A), followed by the unilateral or bilateral sliding flap 23 (Figure 8B). A bilateral A‐T advancement flap can be utilized for proximal germinal matrix defects 23 (Figure 8C).…”

Section: Reconstructive Surgery Techniquesmentioning

confidence: 99%

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Surgical repair for deformities of the nail unit

Wang

Liu

et al. 2022

J of Cosmetic Dermatology

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The nail unit is an integral part of the digit. Clinically, deformity of the nail unit often leads to dysfunction and adverse appearance.Common nail deformities include split, short, hooked, and absent nails, as well as onycholysis and nail malalignment. Compared with non-surgical methods including physical coverage and orthotics devices, surgical repair is the primary and valid treatment for such deformities. This review summarizes the classification of nail unit deformities and the associated reconstructive surgical techniques. | ANATOMY FOR NAIL SURG ERYThe basic nail unit is composed of a nail plate that attaches to the nail bed, nail folds that function as a frame for the nail plate, and a nail bed consisting of germinal and sterile matrices. The germinal matrix forms the nail plate, while the sterile matrix shapes and adheres to the extending nail 1,2 (Figure 1). The blood of the nail unit is supplied by the dorsal and volar proper digital arteries. These vessels merge at the distal interphalangeal joint, where they can be easily compressed by a tourniquet to minimize intraoperative hemorrhage. 2 The nail unit is innervated by paired palmar and plantar nerves. These nerves divide into branches just distal to the distal interphalangeal joint. Hence, nail surgery is usually performed under regional anesthesia, most commonly using a distal digital block or wing block. 3 | CL A SS IFI C ATI ON OF NAIL UNIT DEFORMIT YPatients with congenital, traumatic, and iatrogenic nail deformities should undergo appropriate surgery according to their anatomical classification. In the intact sterile and germinal matrices group, the nail bed and underlying bone are normal or near normal. Hence, only simple nail bed renovation is required in this group. In the partially amputated group, there are partial defects in the sterile and/or germinal matrices. To mend the defective nail bed, flaps or grafts are added to the procedure. Finally, in the completely amputated group, the whole nail unit is absent, with or without the distal phalanx defects. In these circumstances, nail unit reconstruction and occasionally bone grafts are required. However, for nail deformities caused by onychomycosis, 4

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Section: Germinal Matrix Flapmentioning

confidence: 99%

Section: Reconstructive Surgery Techniquesmentioning

confidence: 99%

Section: Reconstructive Surgery Techniquesmentioning

confidence: 99%

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Surgical repair for deformities of the nail unit

Wang

Liu

et al. 2022

J of Cosmetic Dermatology

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“…[28] Proksimal epifizer fragmana ekstansör tendon, kırık distaline flexor digitorum profundus ilerletme işleminin atravmatik yapılabilmesidir. [17][18][19] Defekt alanı tırnak yatağının %50'sinden küçük ise aynı parmak sağlam bölge tırnak yatağından tam kat olmayan greft alınarak onarım yapılabilir. Defekt bölgesi yatağın %50'sinden büyük ise, hastanın seçimine göre, ayak parmağı ya da komşu parmaktan greft alınabilir.…”

Section: Eklem Içi Kırıklar Ve çOcukların Epifizer Kırıklarıunclassified

Distal falanks kırıkları

Çolak¹

2014

TOTBID

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Epifizin diyafiz ile füzyonu 18-19 yaşlarda tamamlanır. Distal falanks, eklem yüzü barındıran geniş proksimal bölüm, daha dar olan cisim ve distalde tekrar genişleme gösteren tuft bölümlerinden oluşur. Cisim bölgesinde dorsal yüzey içbükey, voler yüz daha düzdür. Fleksör tendon falanksın voler proksimal ve lateral çıkıntılarına yapışır. Ekstansör tendon dorsal proksimaldeki çıkıntılı bölgeye yapışır. Parmak pulpası, tuft bölgesine yapışan bağ dokusu ağı ile hareketsizleşen bölmelere ayrılır. [1] Distal interfalangeal (DIP) menteşe tarzında bir eklemdir. Eklem kapsülü dorsalde genişleyen ekstansör tendon, her iki tarafta gerçek ve aksesuvar yan bağlar ve volerde voler plak ile desteklenir. Tüm yan bağlar orta falanks başından başlarlar. Gerçek yan bağlar distal falanks voler yan tüberküllerine yapışırken, aksesuvar E lin distal falanksları, vücudun en fazla travmaya maruz kalan bölgesidir. Travmanın mekanizmasına bağlı olarak, distal falanksta kırık ve bunun yanı sıra farklı şekil ve düzeylerde yumuşak doku hasarları ortaya çıkmaktadır. Tedavide iyi fonksiyonel sonuç elde etmek için bölge anatomisinin kavranması, kemik ve yumuşak doku hasarının dikkatle değerlendirilmesi ve uygun tedavi seçimi şarttır. BÖLGESEL ANATOMİ Distal falanks ve distal interfalangeal eklem anatomisi Diğer tüm falankslar gibi, distal falanksların epifizi proksimaldedir ve 3 yaş civarında kemikleşmeye başlar.

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Nail Disorders

Tosti¹,

Piraccini²

2019

Harper's Textbook of Pediatric Dermatology

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Flaps in nail surgery

Cited by 9 publications

References 33 publications

Surgical repair for deformities of the nail unit

Surgical repair for deformities of the nail unit

Distal falanks kırıkları

Nail Disorders

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