Microsurgical toe-to-finger transfer of the nail system: long-term outcomes

Karami, Reem; Beaineh, Paul; Bakhach, Dimitri; Bakhach, Joseph

doi:10.1007/s00238-020-01759-0

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2022

2023

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“…Many methods have been described in the literature depending on the type and the extent of the injury. Treatment options include healing by secondary intention, nail bed grafting from the big toe [2][3][4], microvascular free nail transfer [5][6][7], extracellular matrix graft after nail bed excision [8], and placement of thenar fascial flap combined with nail grafting [9,10]. We describe a case of nail reconstruction with a nail bed graft from the big toe.…”

Section: Introductionmentioning

confidence: 99%

Nail Reconstruction With Nail Bed Graft From Big Toe: A Case Report

Syrnioti¹,

Ayyat²,

Jean³

et al. 2022

Cureus

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Fingertip injuries with loss of the nail bed can lead to permanent deformities or absent nail formation. This is a case report of a 17-year-old female who sustained a blunt injury to the left second index finger with nail avulsion. The patient underwent nail reconstruction with a split-thickness graft from the sterile matrix of the left great toe. Postoperatively both the donor and the recipient sites appear to be healing appropriately. Since nail reconstruction with toe graft is rarely performed, this case is of particular interest due to its excellent postoperative outcomes.

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