Reference Number : O128
ABSTRACT DETAILS
Author:
Name: Satku Mala
Email: malasatku@gmail.com
Contact Phone Number: +659722570
Institution Name: Tan Tock Seng Hospital, Singapore
Country: SINGAPORE
Name: Teoh Lam Chuan
Email:lam_chuan_teoh@ttsh.com.sg
Contact Phone Number:+6563577714
Institution Name:Tan Tock Seng Hospital, Singapore
Country:SINGAPORE
Presenter:
Name: Satku Mala
Email:malasatku@gmail.com
Contact Phone Number:+6563577714
Institution Name:Tan Tock Seng Hospital, Singapore
Country: SINGAPORE
Presentation style:
Oral Presentation
Abstract Title:
Modified V-Y Plasty For Traumatic Distal Nailbed Loss
Background:
Fingertip injuries are relatively common in home and work-related injuries in Singapore. Volar favourable injuries
with nailbed loss often result in a shortened nail complex, and cosmetically suboptimal outcome. Procedures to
extend the nailbed with free nailbed grafts have been described. We describe a relatively simple and easily
reproducible method of treating volar favourable fingertip injuries with distal nailbed loss to achieve distal nailbed
extension.
Materials and Methods:
This was a prospective case series including patients with volar favourable fingertip amputations. Patients with
distal nailbed loss satisfying the above criteria were included. A standard modification to the V-Y plasty technique
was carried out for these patients, involving deepithelisation of the distal flap. Photographs and measurement of
preoperative and postoperative nailbed lengths were taken. Patients underwent similar regimen for follow-up,
wound care and therapy. Comparison of the preoperative and postoperative nailbed lengths were performed.
Results:
Postoperative findings and comparison of increase in nailbed length were assessed. We discuss the benefits and
limitations of the procedure as well as the physiology of nailbed growth and reepithelisation of skin.
Conclusion:
Our technique is a simple, viable method for improving cosmetic outcome for volar favourable wounds with distal
nailbed loss.
Economic sponsors:
Nil