Documente Academic
Documente Profesional
Documente Cultură
hook-nail deformity
&
Vascularized nail flaps
Christian Dumontier
Institut de la main & hôpital saint Antoine,
Paris
(with help of P. Valenti)
Institut
de la Main
HOOK NAIL
Variation of Foucher
Nancy’s series:
11 patients
50% Good or
acceptable results
Correlation to bone
loss
Island flap reconstruction
RESULTS
28 patients
• 1/3 excellent
• 1/3 good
• 1/3 poor
1988 KOSHIBA
1996 ENDO
short pedicled-arterialized nail flap
1997 HIRASE
modified twisted-toe flap transfer
PATIENTS
- Emergency 3 cases
- Secondary 15 cases
Average delay /16 months
(6-50)
PATIENTS:18 CASES
Recipient
thumb index middle ring
site
4 7 4 3
10 6 2
TYPE OF FREE NAIL TRANSFER
Short pedicle
- 1 partial necrosis
• Pulp loss
• Thumb (> finger)
• Local vascularity (Age+++, smoker)
• Funtional needs (Musicians, ...)
Grazie mille per la
vostra attenzione