Artikel
The reconstruction of lateral nail fold in radial polydactyly with a common nail
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Veröffentlicht: | 6. Februar 2020 |
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Objectives/Interrogation: In this study, we developed a new surgical technique to reconstruct the lateral nail fold of radial polydactyly.
Methods: From December 2012 to October 2015, sixteen cases had a common nail and were treated with a flap from finger pulp. Unilateral inverting suture was performed between the flap and nail bed to reconstruct the lateral nail fold and nail groove.
Results and Conclusions: The follow-up period ranged from 10-45 months. The reconstructed nails had even curvature with a natural-looking of the lunula, and the nail width was about 80%-100% of their normal sides. Four cases had a right angle between the nail epithelium and lateral nail fold, and two had acute angle. The reconstructed nails were asymmetrical in these thumbs. One patients showed a hypertrophy in the lateral nail fold. The reconstructed nails were evaluated by Wang-Gao scoring system (total 12): 10 in two cases, 11 in four and 12 in ten. All the nails had excellent results.
The nail width usually is more than 80% of the normal sides in the radial polydactyly with a common nail. Thus, there is no indication of Bilhaut-Cloquet procedure. Our surgical technique can reconstruct the lateral nail fold and nail groove, and avoid the nail deformity caused by the Bilhaut-Cloquet procedure.