Fingertip injury, especially with resultant defects in the nail bed, is very common
in hand trauma. Such injuries are commonly treated with surgical reconstruction using
flap techniques, such as those described by Atasoy
1
or Tranquilli-Leali.
2
These manipulations have been useful to correct soft tissue defects and phalanx exposures.
Although these techniques do not impair finger function, they result in a shortening
of the affected fingers, which has adverse aesthetic and psychological effects on
the patients.To read this article in full you will need to make a payment
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References
- Reconstruction of the amputated finger tip with a triangular volar flap. A new surgical procedure.J Bone Jt Surg Am. 1970 Jul; 52: 921-926
- Ricostruzione dell'apice delle falangi ungueali mediante autoplastica volare peduncolata per scor-rimento.Infort Traumatol Lav. 1935; 1: 186-193
- Eponychial flap.Ann Chir Plast Esthet. 1998; 43: 259-263
- A simple modification of the Bakhach's eponychial flap for nail lengthening after fingertip amputation.J Plast Reconstr Aesthet Surg. 2011; 64: e265-e266
- Anatomy and physiology of the perionychium: a review of the literature and anatomic study.J Hand Surg [Am]. 1980; 5: 528-536
- Vascular networks of the periphery of the fingernail.J Hand Surg [Br]. 1995; 20: 488-492
- Microvascularization of the human digit as studied by corrosion casting.J Anat. 2004; 204: 123-131
Article info
Publication history
Published online: April 04, 2012
Received:
December 19,
2011
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.