Application of the palmar pocket method for total nail reconstruction without vascular anastomoses

We present a case of a nail defect, which was reconstructed by free composite nail combined with the palmar pocket method without vascular anastomoses. A 40-year-old man lost his nail of the right middle finger by trauma 1 year ago. A total nail composite graft, composed of germinal and sterile matr...

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Veröffentlicht in:Annals of plastic surgery 2005-06, Vol.54 (6), p.673-675
Hauptverfasser: SAWABE, Kazuma, SUZUKI, Shigehiko, MIYATA, Akihito, KITAYAMA, Toshihiro, ISHIKAWA, Kozo
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container_end_page 675
container_issue 6
container_start_page 673
container_title Annals of plastic surgery
container_volume 54
creator SAWABE, Kazuma
SUZUKI, Shigehiko
MIYATA, Akihito
KITAYAMA, Toshihiro
ISHIKAWA, Kozo
description We present a case of a nail defect, which was reconstructed by free composite nail combined with the palmar pocket method without vascular anastomoses. A 40-year-old man lost his nail of the right middle finger by trauma 1 year ago. A total nail composite graft, composed of germinal and sterile matrices, and proximal nail fold, from which the nail plate was removed, was harvested from the ipsilateral first toe and was grafted on the right middle fingertip. The grafted nail was inserted into the palmar subcutaneous pocket. Fourteen days after the first operation, the grafted part was removed from the pocket, and active bleeding was noted on the sterile matrix. Seven months after the second surgery, the nail had grown and had an almost normal appearance. There was no conspicuous scar at either the recipient or the donor site.
doi_str_mv 10.1097/01.sap.0000164731.99795.fe
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source MEDLINE; Journals@Ovid Complete
subjects Adult
Anastomosis, Surgical
Biological and medical sciences
Humans
Male
Medical sciences
Nails - injuries
Nails - surgery
Reconstructive Surgical Procedures - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Vascular Surgical Procedures
title Application of the palmar pocket method for total nail reconstruction without vascular anastomoses
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