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Fingertip reconstruction with a subcutaneous flap and composite graft composed of nail bed and volar pulp skin
Archives of Plastic Surgery ; : 70-75, 2022.
Article in English | WPRIM | ID: wpr-913610
ABSTRACT
Background@#Fingertip injuries are very common; however, the reconstruction of volar pulp defects with nail bed defects is challenging in the absence of the amputated segment. We reconstructed fingertip amputations with nail bed defects using a new surgical

approach:

a subcutaneous flap and composite graft. @*Methods@#We treated 10 fingertip amputation patients without an amputated segment, with exposed distal phalangeal bone and full-thickness nail bed defects between February 2018 and December 2020. All patients underwent two-stage surgery in the first stage, a subcutaneous flap was performed to cover the exposed distal phalanx, and in the second stage, a composite graft, consisting of nail bed, hyponychium, and volar pulp skin, was applied over the subcutaneous flap. @*Results@#All flaps survived and all composite grafts were successful. The wounds healed without any significant complications, including the donor site. The average follow-up duration was 11.2 months (range, 3–27 months). The new nail and the shape of the volar pulp were evaluated during follow-up. All patients were satisfied with their natural fingertip shapes and the new nails did not have any serious deformities. @*Conclusions@#A subcutaneous flap in combination with a composite graft fitting the shape of the defect could be another option for fingertip injuries without amputated segments.
Full text: Available Index: WPRIM (Western Pacific) Language: English Journal: Archives of Plastic Surgery Year: 2022 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: English Journal: Archives of Plastic Surgery Year: 2022 Type: Article