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Journal of Hand Surgery (British and European Volume)
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Articles

Aterialized Venous Toenail Flaps for Treating Nail Loss in the Fingers

A. PATRADUL
C. NGARMUKOS
V. PARKPIAN
P. KITIDUMRONGSOOK

From the Department of Orthopaedic Surgery, Faculty of Medicine, Chulolongkorn University, Bangkok, Thailand

Correspondence: A. Patradul MD, Hand and Reconstructive Microsurgery Unit, Department of Orthopaedic Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. E-mail: apchula{at}hotmail.com

Ten arterialized venous toenail flaps with two venous pedicles, one of which was anastomosed to a digital artery and the other to a dorsal vein of the finger, were used in nine patients to reconstruct nail loss due to trauma. Four flaps were taken from the lateral part of the big toe and six flaps from the second toe. Four toenail flaps with pulp and three flaps with the distal half of distal phalanx were used. Nine flaps survived completely and one had partial necrosis. All showed excellent aesthetic and functional results except for one case with minimal deformity in growth of the nail. The mean operating time was 2 hours.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 5, 519-524 (1999)
DOI: 10.1054/JHSB.1999.0254
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