Does Graft on Flap Method Work on Sequela of Fingertip Amputation?
The graft on flap method, a useful option for the restoration of fresh fingertip amputation, was applied to the reconstruction of the short fingertip stumps resulting from the initial amputated stump plasties. As a modification, a nail bed graft from the big toe and a small cubic iliac bone graft were substituted for the lost tissues normally reduced as a composite graft in fresh cases. Upon follow-up ranging from 1 to 8 years, the grafted bone was found to have been resorpted in all cases. For the reconstruction of short fingertip stumps after the initial amputated stump plasties, acceptable results have not yet been achieved using the graft on flap method.
1 Department of Orthopaedic Surgery, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan.
Kazufumi
K
Sano
1 Department of Orthopaedic Surgery, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan.
Satoru
S
Ozeki
D000672:Amputation Stumps / Q000601:surgery*; D000673:Amputation, Traumatic / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005383:Finger Injuries / Q000601:surgery; D006214:Hallux / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps
Advancement flap; Fingertip amputation; Fingertip reconstruction; Graft on flap; Nail bed graft