Reconstruction of Finger Tip Amputations with Advancement Flap and Free Nail Bed Graft

• DOI: 10.1054/jhsb.2001.0695
• Publication Date: 2002-09-19T15:33:28Z
• Authors: S. RAJA SABAPATHY; H. VENKATRAMANI; R. BHARATHI; S. JAYACHANDRAN
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Amputation, Traumatic; Nails; Finger Injuries; Humans; Plastic Surgery Procedures; Surgical Flaps

Fifteen finger tip amputations through the proximal half of nail bed were reconstructed with palmar V-Y advancement flaps and full thickness grafts. The undersurface flap was sutured to remnant raw area covered grafts from amputated part. They followed for a minimum period one year took fully in all patients. results best thumb least favourable little but patients happy cosmetic result functional outcome. This technique an average gain 5 mm extra length nail. is useful when replantation distal fingertip amputation not possible.