Matsuba H M, Spear S L
Division of Plastic and Reconstructive Surgery, Georgetown University Hospital, Washington, D.C.
Plast Reconstr Surg. 1988 Mar;81(3):440-3. doi: 10.1097/00006534-198803000-00023.
Split-thickness nail bed grafting is the accepted method of treatment for injuries involving loss of nail bed tissue. The nail bed of the great toe may be used without donor-site morbidity, and nail bed grafting may be combined with other procedures for fingertip reconstruction. A case of fingertip avulsion injury with loss of the nail plate, nail bed, and periosteum over the exposed distal phalanx of the thumb was reconstructed by a split-thickness nail bed graft placed directly on granulating decorticated bone. The length, appearance, and function of the injured dominant thumb were preserved.
断层甲床移植是治疗涉及甲床组织缺失损伤的公认方法。拇趾甲床可用于移植而不会产生供区并发症，甲床移植可与其他指尖重建手术联合应用。1例拇指远节指骨外露，伴有甲板、甲床和骨膜缺失的指尖撕脱伤患者，通过直接将断层甲床移植于去皮质的肉芽骨上进行了重建。受伤的优势拇指的长度、外观和功能均得以保留。
