The Experts below are selected from a list of 291 Experts worldwide ranked by ideXlab platform
S Jayachandran - One of the best experts on this subject based on the ideXlab platform.
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reconstruction of finger tip amputations with advancement flap and free Nail Bed graft
Journal of Hand Surgery (European Volume), 2002Co-Authors: Raja S Sabapathy, Hari Venkatramani, Ravindra R Bharathi, S JayachandranAbstract:Fifteen finger tip amputations through the proximal half of the Nail Bed were reconstructed with palmar V-Y advancement flaps and full thickness Nail Bed grafts. The undersurface of the V-Y flap was sutured to the Nail Bed remnant and the raw area was covered with full thickness Nail Bed grafts from the amputated part. They were followed for a minimum period of one year and the Nail Bed grafts took fully in all patients. The results were best in the thumb and least favourable in the little finger but all the patients were happy with the cosmetic result and the functional outcome. This technique results in an average gain of 5 mm of extra length to the Nail. This is a useful technique when replantation of a distal fingertip amputation is not possible.
Gelareh Ghaffarpour - One of the best experts on this subject based on the ideXlab platform.
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a new surgical technique for the correction of pincer Nail deformity combination of splint and Nail Bed cutting
Dermatologic Surgery, 2010Co-Authors: Gholamhossein Ghaffarpour, Seyed Mehdi Tabaie, Gelareh GhaffarpourAbstract:BACKGROUND Pincer Nail is a kind of Nail deformity characterized by a transverse overcurvature of the Nail that increases along the longitudinal axis. Many conservative and surgical treatment modalities have been reported. PURPOSE Widening the Nail Bed and use of aspiration tube splint in pincer Nail surgery. MATERIALS AND METHODS Pincer Nail was treated by surgery with splinting in 11 patients. In this procedure, the Nail Bed is enlarged in a transverse direction using incisions on the Nail Bed. RESULTS The postoperative follow-up ranged from 12 to 19 months (mean 15 months). Excellent results were obtained in all patients. No further complications were reported. CONCLUSIONS The splint can prevent contracture of the Nail matrix and Nail Bed. Widening and flattening the Nail Bed using an aspiration tube splint provided a longstanding effective treatment of pincer Nail deformity and pain relief. The authors have indicated no significant interest with commercial supporters.
Ziqing Zhang - One of the best experts on this subject based on the ideXlab platform.
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Split-Thickness Nail Bed Flap Graft in the Management of Distal Partial Defect of the Nail Bed Combined With Soft Tissue.
Journal of Hand Surgery (European Volume), 2020Co-Authors: Zhiying Chen, Yanjun Yang, Ziqing ZhangAbstract:Purpose We report a surgical procedure for the management of Nail Bed injuries combined with soft tissue defects. Methods We reviewed the records of patients with a Nail Bed injury combined with a soft tissue defect, who were surgically treated at our hospital from 2015 through 2018. According to the Allen classification, 5 patients were characterized as type 2 and 3 were characterized as type 3. Two also had partial defects of the distal phalanx. In all cases, we created a split-thickness Nail Bed flap of the great toe to reconstruct the Nail Bed injury. All patients underwent supervised postoperative rehabilitation. We reviewed patients’ medical records for the Michigan Hand Outcomes Questionnaire, 2-point discrimination, and postoperative healing in the donor area. Results Both the Nails and flaps of all patients survived. No complications were observed after surgery. The Nail was completely attached to the Nail Bed. In addition, there were no deformities, and the Nail plate appearance was close to normal. A Nail with an unsatisfactory appearance was noted in one patient. The shape, texture, and elasticity of the flaps of all patients were acceptable. All patients were capable of normal pinching, gripping, and grasping. Twelve months after the operation, 3 of 8 patients had 2-point discrimination of 6 mm or less. All patients were satisfied with the hand function according to the Michigan Hand Outcomes Questionnaire. The toeNail of the donor site grew well, and no deformity or pain with walking was noted. Conclusions We demonstrate that this approach is a safe means of repairing a Nail Bed injury combined with a soft tissue defect. Type of study/level of evidence Therapeutic V.
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Transplantation of slice Nail Bed flap of great toe with vascular anastomosisin repairing Nail Bed and soft tissue defect of fingers
Chinese Journal of Microsurgery, 2019Co-Authors: Hong-gang Wang, Shaogeng Huang, Zhe Zhang, Yanjun Yang, Ziqing ZhangAbstract:Objective To discuss the clinical effect of transplantation of slice Nail Bed flap of great toe with vascular anastomosis in repair of partial Nail-Bed and soft tissue defect at fingers. Methods From January, 2015 to March, 2018, 16 cases (16 fingers) of partial Nail-Bed defect at fingers were repaired with transplantation of slice Nail Bed flap of great toe with vascular anastomosis. All cases were combined with palmar soft tissue defect at distal segment fingers. The area of Nail Bed defects were from 0.8 cm×0.5 cm to 1.2 cm×1.0 cm. The area of soft tissue defects were from 1.2 cm×1.0 cm to 2.5 cm×1.5 cm. The average time from injury to operation was 3.6 hours after injuries(ranging from 1 hour to 8 hours). The area of slice Nail Bed flap incised during operation were from 2.5 cm×1.2 cm to 3.2 cm×1.8 cm, and the donor site was sutured directly. All patients were followed-up regularly for Nail appearance, function and donor healing. Among them, 11 cases were followed-up by clinic, 4 cases by WeChat, and telephone follow-up was performed in 1 case. Results The Nail-Bed flap after transplantation survived successfully. The followed-up time were from 6 to 18 months, the average time was 9 months. Longitudinal spine and rough appearance occurred in 1 case. Others were flat, smooth, complete attachment of Nail body and Nail Bed. The flaps had good appearance, texture and elasticity at 6 months after surgery, and two-point discrimination was 6-12 mm(average, 8 mm). The toeNails at donor sites grew well. No walk-associated pain after long-term following-up. Six months after surgery, according to standard for efficacy evaluation of Nail regeneration, 12 cases were excellent, 3 cases were good and 1 case was acceptable. Conclusion Transplantation of slice Nail Bed flap of great toe with vascular anastomosis in repair of partial Nail-Bed and soft tissue defect at fingers is one of the effective methods for repairing Nail-Bed defect at fingers. Key words: Nail Bed defect; Nail Bed fiap of great toe; Vascular anastomosis; Repair
Seyed Mehdi Tabaie - One of the best experts on this subject based on the ideXlab platform.
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a new surgical technique for the correction of pincer Nail deformity combination of splint and Nail Bed cutting
Dermatologic Surgery, 2010Co-Authors: Gholamhossein Ghaffarpour, Seyed Mehdi Tabaie, Gelareh GhaffarpourAbstract:BACKGROUND Pincer Nail is a kind of Nail deformity characterized by a transverse overcurvature of the Nail that increases along the longitudinal axis. Many conservative and surgical treatment modalities have been reported. PURPOSE Widening the Nail Bed and use of aspiration tube splint in pincer Nail surgery. MATERIALS AND METHODS Pincer Nail was treated by surgery with splinting in 11 patients. In this procedure, the Nail Bed is enlarged in a transverse direction using incisions on the Nail Bed. RESULTS The postoperative follow-up ranged from 12 to 19 months (mean 15 months). Excellent results were obtained in all patients. No further complications were reported. CONCLUSIONS The splint can prevent contracture of the Nail matrix and Nail Bed. Widening and flattening the Nail Bed using an aspiration tube splint provided a longstanding effective treatment of pincer Nail deformity and pain relief. The authors have indicated no significant interest with commercial supporters.
Raja S Sabapathy - One of the best experts on this subject based on the ideXlab platform.
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reconstruction of finger tip amputations with advancement flap and free Nail Bed graft
Journal of Hand Surgery (European Volume), 2002Co-Authors: Raja S Sabapathy, Hari Venkatramani, Ravindra R Bharathi, S JayachandranAbstract:Fifteen finger tip amputations through the proximal half of the Nail Bed were reconstructed with palmar V-Y advancement flaps and full thickness Nail Bed grafts. The undersurface of the V-Y flap was sutured to the Nail Bed remnant and the raw area was covered with full thickness Nail Bed grafts from the amputated part. They were followed for a minimum period of one year and the Nail Bed grafts took fully in all patients. The results were best in the thumb and least favourable in the little finger but all the patients were happy with the cosmetic result and the functional outcome. This technique results in an average gain of 5 mm of extra length to the Nail. This is a useful technique when replantation of a distal fingertip amputation is not possible.
