Oblique Triangular Neurovascular Osteocutaneous Flap for Hook Nail Deformity Correction

Hook nail deformity results in aesthetic and functional problems after fingertip amputations. Previously described techniques do not correct the osseous defect, which may be the principle cause of the problem. We present a surgical technique based on a compound homodigital advancement flap combining...

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Veröffentlicht in:	The Journal of hand surgery (American ed.) 2014-07, Vol.39 (7), p.1415-1418
Hauptverfasser:	García-López, Antonio, PhD, Laredo, Carlos, MD, Rojas, Adaly, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	abnormal nail Adult Amputation, Traumatic - complications Amputation, Traumatic - diagnosis Amputation, Traumatic - surgery Bone Nails Female Finger Injuries - complications Finger Injuries - diagnosis Finger Injuries - surgery Fingertip amputation Follow-Up Studies Graft Survival hook nail Humans Nails, Malformed - etiology Nails, Malformed - surgery Orthopedics Osteotomy - instrumentation Osteotomy - methods pedicled flaps Reconstructive Surgical Procedures - instrumentation Reconstructive Surgical Procedures - methods Surgical Flaps - blood supply Surgical Flaps - transplantation Treatment Outcome Wound Healing - physiology
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Beschreibung
Zusammenfassung:	Hook nail deformity results in aesthetic and functional problems after fingertip amputations. Previously described techniques do not correct the osseous defect, which may be the principle cause of the problem. We present a surgical technique based on a compound homodigital advancement flap combining bone of the distal phalanx, finger pulp, and skin. We describe this technique, report a case, and discuss the advantages over former techniques.
ISSN:	0363-5023 1531-6564
DOI:	10.1016/j.jhsa.2014.04.036