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采用拇趾甲床移植进行指甲重建：一例报告。

Nail Reconstruction With Nail Bed Graft From Big Toe: A Case Report.

作者信息

Syrnioti Georgia, Ayyat Mumen, Jean Chloe, Ahmad Huma, Ahmad Nawaiz

机构信息

Plastic and Reconstructive Surgery, Brookdale University Hospital Medical Center, New York, USA.

Plastic and Reconstructive Surgery, Saba University School of Medicine, New York, USA.

出版信息

Cureus. 2022 Aug 11;14(8):e27884. doi: 10.7759/cureus.27884. eCollection 2022 Aug.

DOI:10.7759/cureus.27884
PMID:36110482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9462594/
Abstract

Fingertip injuries with loss of the nail bed can lead to permanent deformities or absent nail formation. This is a case report of a 17-year-old female who sustained a blunt injury to the left second index finger with nail avulsion. The patient underwent nail reconstruction with a split-thickness graft from the sterile matrix of the left great toe. Postoperatively both the donor and the recipient sites appear to be healing appropriately. Since nail reconstruction with toe graft is rarely performed, this case is of particular interest due to its excellent postoperative outcomes.

摘要

甲床缺失的指尖损伤可导致永久性畸形或指甲无法形成。本文报告一例17岁女性，其左示指因钝性损伤导致指甲撕脱。患者接受了取自左拇趾无菌甲床的中厚皮片移植进行指甲重建。术后供区和受区均愈合良好。由于很少进行用趾甲移植进行指甲重建，该病例因其出色的术后效果而特别引人关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/565c/9462594/ce1046f52d81/cureus-0014-00000027884-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/565c/9462594/4c34a399e016/cureus-0014-00000027884-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/565c/9462594/e9bf2952889b/cureus-0014-00000027884-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/565c/9462594/ce1046f52d81/cureus-0014-00000027884-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/565c/9462594/4c34a399e016/cureus-0014-00000027884-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/565c/9462594/e9bf2952889b/cureus-0014-00000027884-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/565c/9462594/ce1046f52d81/cureus-0014-00000027884-i03.jpg

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本文引用的文献

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Salvaging a Totally Avulsed Nail Bed Using Free Grafting and Postoperative Ice Cooling: A Case Report.游离甲床完全撕脱后采用游离植皮和术后冰敷进行再植：病例报告。
Wounds. 2021 Apr;33(4):E28-E30.
2
Grafting and Other Reconstructive Options for Nail Deformities: Indications, Techniques, and Outcomes.指甲畸形的移植及其他重建选择：适应症、技术和结果
Hand Clin. 2021 Feb;37(1):67-76. doi: 10.1016/j.hcl.2020.09.003.
3
Long-term outcomes of nail bed reconstruction.甲床重建的长期结果。
Arch Plast Surg. 2019 Nov;46(6):580-588. doi: 10.5999/aps.2019.00997. Epub 2019 Nov 15.
4
Nail bed defect reconstruction using a thenar fascial flap and subsequent nail bed grafting.采用大鱼际筋膜瓣修复甲床缺损并进行后续甲床移植。
Arch Plast Surg. 2019 Jan;46(1):57-62. doi: 10.5999/aps.2018.00227. Epub 2019 Jan 15.
5
Reconstruction of large area defect of the nail bed by cross finger fascial flap combined with split-thickness toe nail bed graft: A new surgical method.交指筋膜瓣联合中厚趾甲床移植修复甲床大面积缺损：一种新的手术方法。
Medicine (Baltimore). 2017 Feb;96(6):e6048. doi: 10.1097/MD.0000000000006048.
6
Case report of nail bed injury after blunt trauma; what lies beneath the nail?钝器伤后甲床损伤的病例报告；指甲之下隐藏着什么？
Int J Surg Case Rep. 2015;15:133-6. doi: 10.1016/j.ijscr.2015.08.037. Epub 2015 Aug 30.
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Nail anatomy.指甲解剖学。
Clin Dermatol. 2013 Sep-Oct;31(5):509-15. doi: 10.1016/j.clindermatol.2013.06.006.
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