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A New Surgical Method to Reconstruct the Fingertip

Yang, Jianyun MD*†; Yu, Cong MD*†; Jia, Xiaotian MD*†

doi: 10.1097/SAP.0000000000002002
Hand Surgery

Background In our previous study, we used cross finger fascial flap combined with split-thickness toe nail bed graft to reconstruct large area defect of the nail bed with distal phalanx exposure. Fingertip avulsions are common injuries to the upper extremity and cause a great deal of distress for patients. Replantation, amputation and flap coverage are considered. However, all these methods have their limitations.

Methods Five patients with fingertip avulsions were enrolled. We used the methods mentioned above combined with the reversed pedicled island flap to covered the defects of both the dorsal and volar sides and reconstruct the fingertip.

Results All the 5 patients were followed for at least 3 months. The blood supply of the flaps and nail bed is good. All the patients were satisfied with their new fingertips.

Conclusions The method we introduced in this study is proved to be an effective surgical method for fingertip avulsions.

From the *Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China

Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China.

Received March 14, 2019, and accepted for publication, after revision April 26, 2019.

Conflicts of interest: none declared.

This study was supported by the Shanghai Scientific Research Program Project (grant 17411961200).

Reprints: Xiaotian Jia, MD, Department of Hand Surgery, Huashan Hospital, Fudan University, 12 Wulumuqi Zhong Rd, Shanghai, 200040, China. E-mail:

Online date: September 5, 2019

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