Fingertip reconstruction with a dorsal transposition flap.
Fingertip reconstruction using a dorsal transposition flap was performed on 10 patients who had undergone traumatic oblique amputation (radial or ulnar) through the middle of the nailbed or transversely through the proximal third of the nailbed. All operations were successful, with a small area of tip necrosis in one flap. Flat nail growth occurred in all digits, with an average regrowth of 5 mm from the initial amputated level. This is a reliable one-staged method of functional and aesthetic preservation of the fingertip.
Inoue
G
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Department of Orthopaedic Surgery, Nagoya University School of Medicine, Japan.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000673:Amputation, Traumatic / Q000601:surgery*; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009262:Nails / Q000254:growth & development; D013524:Surgical Flaps / Q000379:methods*