Resurfacing a short nail matrix remnant with a de-epithelized V-Y flap

Abstract

The plantar digital intrinsic nerve was connected to the recurrent branch of the median nerve. The skin was closed loosely. The patient received anticoagulant, anti-inflammatory and antispasmodic therapy for 7 days and kept his hand and foot elevated. The hand was immobilized for 3 weeks, followed by progressive physical therapy. The flap survived completely (Figure 2(a) and (b)). By 8 months after surgery, the pinch function of the thumb was partially restored, as the thumb could touch the tips of the index, middle and ring fingers effortlessly (Figure 2(c)). The two-point discrimination on the flap was 12 mm and on the thumb pulp was 6 mm. The donor site also recovered well (Figure 2(d)). The patient was satisfied with the functional and cosmetic results.