CORRECTION OF HOOKED-NAIL DEFORMITY BY HOMODIGITAL REVERSE FLOW ISLAND FLAP

Year 2001, Volume: 14 Issue: 1, 27 - 30, 03.12.2016

Fatih Peker Cengiz Açıkel Ercan Karacaoğlu

Abstract

Objective: Hooked-nail deformity results from loss of bony and soft tissue support of the nail bed. Various treatment methods have been described for soft tissue support with inconsistent results.
Methods: Eleven patients (mean age 21 years old, 10 male, 1 female) with hooked-nail deformities on twelve of their fingertips were treated by using homodigital reverse flow island flap. Mean follow-up period was 6 months.
Results: All treated fingers gained nearly normal appearances and all patients were satisfied. None fef the patients had experienced recurrence of the deformity. 2 patients complained of cold intolerance.
Conclusion: The described method is a one- stage procedure. Ample flap tissue taken from the same finger is applied to the fingertip. A short period of immobilization is necessary avoiding any joint stiffness. Homodigital reverse flow island flap was considered an effective method for correcting hooked-nail deformities resulting from inadequate soft tissue support of nail bed.
Key Words: Hook nail, Homodigital reverse flow island flap.

References

• Zook EQ. Complications of the perionychium. Hand Clin 1986; 2; 407-409.
• Quy FU. The etiologies and mechanism of nail bed injuries. Hand Clin 1990; 6: 9-10.
• Shepard OH. Hail grafts for reconstruction. Hand Clin 1990; 6: 97-100.
• Zook EG, Russel RC. Reconstruction of a functional and esthetic nail. Hand Clin 1990; 6: 59-63.
• Atasoy E, Godfrey A, Kalisman M. The antenna' procedure for the hook-nail' deformity. J Hand Surg 1983; 8A: 55-58.
• Roshima I, Moriguchi T, Ameda H, Yameda A. Trimmed second toetip transfer for reconstruction of daw nail deformity of the fingers. Br J Piast Surg 1988; 13A: 29-32.
• Kumar VP, Satku K. Treatment and prevention of hook nail deformity with anatomic correlation. J Hand Surg 1993; 18A: 61 7-620.
• Durak H, Yüksel F, Kislaoglu E. Use of a toe- pulp graft combined with V-Y advancement flap in correction of hook nail deformity. Marmara Med J 1995; 8: 18-23.
• Bubak PJ, Richey MD, Engrav LH. Hook nail deformity repaired using a composite toe graft. Piast Reconstr Surg 1992; 90: 1079- 1082.
• Weeks PM, Wray RC. Management of Acute Hand Injuries, ed 2. St. Louis: C V Mosby, 1978: 183-186
• Lai CS, Lin SD, Yang CC. The reverse digital artery flap for finger tip reconstruction. Ann Piast Surg 1989; 22: 495-499.
• Kojima T, Tsuchida Y, Hirase Y, Endo T. Reverse vascular pedicle digital island flap. Br J Piast Surg 1990; 43: 290-294.
• Brunelli F, Mathoulin C. Presentation of a new homodigital, countercurrent sensitive island flap. Ann Chirr Main 1991; 10: 48-53.
• Sapp JW, Ailen RJ, Dupin C. A reversed digital artery island flap for the treatment of fingertip injuries. J Hand Surg 1993; 18: 528-531.