{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T20:25:19Z","timestamp":1747686319765,"version":"3.37.3"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T00:00:00Z","timestamp":1672358400000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003There are numerous flaps described for the treatment of fingertip amputation. Shortened nail length resulting from amputation is an ignored area. Eponychial flap is a simple procedure that helps to lengthen the nail plate and correct this deformity.<\/jats:p><jats:p>\n          Methods\u2003This case\u2013control study was conducted between April 2016 and June 2020 aimed at comparing the outcome of nail defects in a fingertip amputation treated with eponychial flap and those treated without an eponychial flap.<\/jats:p><jats:p>\n          Results\u2003Among 165 patients treated for fingertip injury, 78 were treated with eponychial flap (group A) and 87 without eponychial flap (group B). In group A, the nail length was 72.54% (standard deviation [SD]: 14.4) and the nail plate area was 74.35% (SD: 13.96) compared with the contralateral uninjured nail. These results were significantly better (p\u2009=\u20090.000) compared with group B where the values were 36.49 (SD: 8.45) and 35.8% (SD: 8.4), respectively. The aesthetic outcome score was also significantly higher in group A patients (p\u2009=\u20090.002). The patient satisfaction was superior in group A compared with group B.<\/jats:p><jats:p>\n          Conclusion\u2003The eponychial flap is a simple and reliable technique that can be used to restore the visible nail length in traumatic fingertip defects. Compared with fingers treated without nail lengthening with eponychial flap gives excellent aesthetic results.<\/jats:p>","DOI":"10.1055\/s-0042-1759552","type":"journal-article","created":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T23:59:51Z","timestamp":1672444791000},"page":"391-395","source":"Crossref","is-referenced-by-count":2,"title":["Eponychial Flap: A Simpler Way to Achieve Better Aesthetic Outcome in a Fingertip Amputation"],"prefix":"10.1055","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5253-5096","authenticated-orcid":false,"given":"Srikant Aruna","family":"Samantaray","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Baby Memorial Hospital, Kozhikode, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3773-1312","authenticated-orcid":false,"given":"Kader","family":"Kalathingal","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Baby Memorial Hospital, Kozhikode, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8494-8779","authenticated-orcid":false,"given":"Hafiz","family":"Muhammed","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Baby Memorial Hospital, Kozhikode, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4079-5499","authenticated-orcid":false,"given":"Subin","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Baby Memorial Hospital, Kozhikode, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,12,30]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1097\/00006534-198008000-00026","article-title":"Oblique triangular flap: a new method of repair for oblique amputations of the fingertip 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Surg"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1016\/S0749-0712(02)00047-1","article-title":"Perionychial grafts in trauma and reconstruction","volume":"18","author":"G H Shepard","year":"2002","journal-title":"Hand Clin"},{"issue":"01","key":"ref13","first-page":"51","article-title":"Le lambeau \u201cescalator\u201d dans le traitement de l'ongle en griffe","volume":"36","author":"G Foucher","year":"1991","journal-title":"Ann Chir Plast Esthet"},{"issue":"05","key":"ref14","first-page":"553","article-title":"Reconstruction des pertes de substance distales du lit ungueal par un lambeau d'avancement pulpaire d\u00e9s\u00e9pidermis\u00e9","volume":"37","author":"C Dumontier","year":"1992","journal-title":"Ann Chir Plast Esthet"},{"issue":"04","key":"ref15","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1016\/j.bjps.2014.01.013","article-title":"An algorithmic approach to posttraumatic nail deformities based on anatomical 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