Adani Roberto, Leo Giovanni, Tarallo Luigi
Department of Orthopaedic Surgery, University of Modena and Reggio Emilia, Modena, Italy. adani.roberto.it
Tech Hand Up Extrem Surg. 2006 Dec;10(4):255-8. doi: 10.1097/01.bth.0000236989.96534.0a.
Loss of distal fingertip bone and soft tissue defect can be treated using different methods, but the involvement of the nail influences the choice of surgical approach and makes reconstruction more difficult. The eponychial flap is a backward cutaneous translation flap that lengthens the nail plate and restores a good appearance of the nail apparatus. Pulp reconstruction is usually performed using local flaps (Tranquilli-Leali or Venkataswami flaps). The eponychial flap technique is a safe and easy technique that is indicated in cases of transverse fingertip angulations for lengthening the short amputated nail. This procedure can be used in combination with different flaps for pulp reconstruction.
远端指尖骨缺失和软组织缺损可采用不同方法治疗，但指甲受累会影响手术方式的选择，并使重建更加困难。甲上皮瓣是一种向后的皮肤移位皮瓣，可延长甲板并恢复甲器的良好外观。通常使用局部皮瓣（Tranquilli-Leali皮瓣或Venkataswami皮瓣）进行指腹重建。甲上皮瓣技术是一种安全简便的技术，适用于横行指尖成角以延长短缩的截断指甲的情况。该手术可与不同皮瓣联合用于指腹重建。
