Nail plasty in the treatment of duplicated thumb.
We present refinements in the treatment of duplicated thumb. When applying the modified Bilhauts procedure including the nail, this design based on a lunula is useful to construct a natural looking nail in Wassel types 2 to 4. No bone fixation of each segment is also effective to produce an even transverse curvature of the reconstructed nail.
Iwasawa
M
M
Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Hirose
T
T
D005260:Female; D006226:Hand Deformities / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D008722:Methods; D009262:Nails / Q000601:surgery*; D013933:Thumb / Q000002:abnormalities*