{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T01:06:49Z","timestamp":1762045609544,"version":"3.41.2"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T00:00:00Z","timestamp":1681257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Lesions of the distal phalanges of the fingers frequently involve the nail bed. There are few therapeutic options for nail\u2010bed reconstruction and they often lead to painful scars and onychodystrophy. We present our experience with the distal adipofascial laterodigital reverse flap.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifteen patients (average age 46.33\u2009years, range 28\u201373) with tumors or traumatic injuries (crush injuries, nail avulsion, and partial fingertip amputations) of the nail bed, underwent digital reconstruction through the distal adipofascial laterodigital reverse flap from June 2018 to August 2019. The size of the fingertip defect covered with the flap was ranged between 1.1\u2009\u00d7\u20091.1 and 1.6\u2009\u00d7\u20091.2\u2009cm (average size 1.4\u2009\u00d7\u20091.2\u2009cm). The flap was harvested enrolling subcutaneous tissue from the lateral aspect of the middle and distal phalanx from the less damaged side.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average size of the harvested flaps was 1.3\u2009\u00d7\u20091.2\u2009cm (range 1.1\u2009\u00d7\u20091.0 to 1.4\u2009\u00d7\u20091.1\u2009cm). All adipofascial flaps survived entirely and the nail bed healed in all patients, with an average healing time of 21\u2009days and a subsequent regrowth of the nail. The follow up ranged from 6 to 12\u2009months, with a mean of 7\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The distal reverse adipofascial flap provides a very versatile and reliable coverage of the distal finger and its nail bed. It is a rapid and reproducible surgical procedure with poor morbidity for the donor site.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.31048","type":"journal-article","created":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T14:16:41Z","timestamp":1681309001000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Reversed distal laterodigital adipofascial flap for nail\u2010bed reconstruction"],"prefix":"10.1002","volume":"44","author":[{"given":"Pietro F.","family":"Delle Femmine","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery San Camillo\u2010Forlanini Hospital  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8818-2387","authenticated-orcid":false,"given":"Edoardo","family":"Bruno","sequence":"additional","affiliation":[{"name":"Department of Surgery \"P.Valdoni\", Unit of Plastic and Reconstructive Surgery, Policlinico Umberto I Sapienza University of Rome  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele","family":"Tosi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery San Camillo\u2010Forlanini Hospital  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaetano","family":"Musumarra","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Unit San Gerardo Hospital  Monza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Amadei","sequence":"additional","affiliation":[{"name":"Hand Surgery Division C.O.F. Lanzo Hospital  Alta Valle Intelvi Como Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Ribuffo","sequence":"additional","affiliation":[{"name":"Department of Surgery \"P.Valdoni\", Unit of Plastic and Reconstructive Surgery, Policlinico Umberto I Sapienza University of Rome  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Del Bene","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Unit San Gerardo Hospital  Monza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.28758"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000101954.16674.99"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2005.02.009"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.02.004"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31805a65ac"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-196703000-00001"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0266-7681(98)80124-1"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199493030-00017"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199604000-00028"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0007-1226(55)80006-9"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199112000-00013"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/dth.12039"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(91)90119-5"},{"key":"e_1_2_8_15_1","first-page":"28","volume-title":"Les lambeaux arteriels pedicules du member superieor","author":"Lamberty B. G. H.","year":"1991"},{"key":"e_1_2_8_16_1","first-page":"316","article-title":"Vascularisation art\u00e9rielle des t\u00e9guments de la face dorsale de la main et des doigts","volume":"12","author":"Levame J. H.","year":"1967","journal-title":"Annales de Chirurgie Plastique"},{"key":"e_1_2_8_17_1","first-page":"603","article-title":"Repair of severe nail bed defects with radial dorsal fasciocutaneous flap of thumb","volume":"27","author":"Liu Y.","year":"2013","journal-title":"Chinese Journal of Reparative and Reconstructive Surgery"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/08941939.2019.1672840"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30404"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(84)90051-1"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(85)80131-9"},{"key":"e_1_2_8_22_1","first-page":"45","article-title":"The flap with a \u201cdouble door\u201d in finger traumatic lesion","volume":"27","author":"Poggi D. S.","year":"1990","journal-title":"Chir Mano"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0363-5023(09)91123-6"},{"key":"e_1_2_8_24_1","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1007\/978-4-431-67865-6","volume-title":"Experimental and clinical reconstructive microsurgery","author":"Tamai S.","year":"2003"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004506"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199804040-00029"},{"key":"e_1_2_8_27_1","first-page":"133","article-title":"The subcutaneous turnover flap: Successful coverage of a difficult electrical burn wound of the wrist","volume":"18","author":"Tremolada C.","year":"1995","journal-title":"European Journal of Plastic Surgery"},{"key":"e_1_2_8_28_1","first-page":"383","article-title":"L'impiego dei lembi adipose sottocutanei nella ricostruzione della regione metatarsale esterna del piede","volume":"27","author":"Vaienti L.","year":"1995","journal-title":"Rivista Italiana di Chirurgia Plastica"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.31048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T11:57:14Z","timestamp":1707393434000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.31048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,12]]},"references-count":27,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/micr.31048"],"URL":"https:\/\/doi.org\/10.1002\/micr.31048","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"type":"print","value":"0738-1085"},{"type":"electronic","value":"1098-2752"}],"subject":[],"published":{"date-parts":[[2023,4,12]]},"assertion":[{"value":"2022-07-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e31048"}}