Use of partial nail carried by great toe fibular flap for repairing the defect of fingertip soft tissue and nail bed: 12 cases report
10.3760/cma.j.issn.1001-2036.2019.02.004
- VernacularTitle:带部分趾甲的(躅)趾腓侧瓣修复手指末端软组织合并甲床缺损12例
- Author:
Jin WANG
1
;
Guangxun ZHAO
;
Feng HU
;
Guang YANG
;
Lei SHI
;
Tian XIA
;
Pei PEI
Author Information
1. 安徽省中西医结合医院骨伤科
- Keywords:
Great toe fibular flap;
Fingertip injury;
Nail bed defect;
Microsurgical technique
- From:
Chinese Journal of Microsurgery
2019;42(2):117-119
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the method and clinical outcome of partial nail carried by great toe fibular flap for repairing the defect of fingertip soft tissue and nail bed.Methods From June,2016 to October,2017,12 cases suffered the defect of fingertip soft tissue and nail bed.The injury fingers included 5 index fingers,6 mindle fingers and 1 ring finger.All cases were complicated with nail bed defect of different degrees.The nail matrix was intact.The area of fingertip defect ranged from 1.0 cm×1.0 cm to 1.5 cm×2.5 cm.The area of nail bed defect ranged from 0.2 cm×0.8 cm to 0.5 cm×1.5 cm.Great toe fibular flap combine with partial nail was harvested.Donor site was directly sutured or skin grafting according to the size.The regular preoperative followed-up was performed.Results All flaps survived with donor sites healing good.The average followed-up time was 7 (ranging from 2 to 10) months,and cosmetically acceptable results were achieved for all patients.The mean static 2-PD in the flaps was 7.5 (range,6.0 to 8.0) mm.No obvious deformity of the great toe nail.Conclusion Findings proved that using partial nail carried by great toe fibular flap is a beneficial microsurgical alternative for reconstructing defect of fingertip soft tissue and nail bed.
