title: [Reconstruction of distal loss of substance in the nail-bed by a de-epithelialized flap from the digital pulp].
abstract: Twelve patients, presenting with traumatic avulsion of the distal nail bed, repaired by a de-epithelialized palmar advancement flap, were reviewed with an average follow-up of 23 months. Subjective results were considered excellent in two cases, good in seven, fair in two and poor in one patient. Nail adherence with the de-epithelialized flap was observed over almost 90% of the new nail bed. Nail dystrophy was observed in three patients, but was severe in only one. Two patients had slight curvature of their nail, while one had a severe hook-nail deformity. Mobility in the finger was always complete, and only one patient had a slightly decreased two-point discrimination on the flap.
authors.affiliation: Service d'Orthopédie-Traumatologie, Hôpital Saint-Antoine, Paris.
authors.forename: C
authors.initials: C
authors.lastname: Dumontier
authors.forename: B
authors.initials: B
authors.lastname: Tilquin
authors.forename: E
authors.initials: E
authors.lastname: Lenoble
authors.forename: G
authors.initials: G
authors.lastname: Foucher
mesh_terms: D000293:Adolescent; D000328:Adult; D005383:Finger Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009262:Nails / Q000293:injuries* / Q000601:surgery; D013524:Surgical Flaps; D013536:Suture Techniques
vernacular_title: Reconstruction des pertes de substance distales du lit ungueal par un lambeau d'avancement pulpaire désépidermisé.