2021
DOI: 10.12790/ahm.21.0085
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Simultaneous Volar Pulp and Nail Bed Reconstruction with the Second Toe Onychocutaneous Free Flap

Abstract: Fingertip injury is one of the most common hand injuries. Although several types of advancement and cross-finger flaps exist, they would not be essential for nail bed defects. The authors present a simultaneous volar pulp and nail bed reconstructive technique that uses a second toe onychocutaneous free flap. Four patients without amputees underwent fingertip amputation reconstruction between 2011 and 2019. After thorough debridement, the defect size was estimated, and the digital arteries, nerves, and veins of… Show more

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Cited by 2 publications
(1 citation statement)
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“…Basically, an onychocutaneous flap can be harvested from the great toe or second toe if the patient agrees to it. The onchocutaneous flap in the short pedicle is our first choice any time because it has a better outlook and growing nail [6,7]. The flap digital artery is anastomosed to the recipient digital artery, and the toe dorsal vein is anastomosed to the toe dorsal vein.…”
Section: Discussionmentioning
confidence: 99%
“…Basically, an onychocutaneous flap can be harvested from the great toe or second toe if the patient agrees to it. The onchocutaneous flap in the short pedicle is our first choice any time because it has a better outlook and growing nail [6,7]. The flap digital artery is anastomosed to the recipient digital artery, and the toe dorsal vein is anastomosed to the toe dorsal vein.…”
Section: Discussionmentioning
confidence: 99%