{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:32:54Z","timestamp":1740166374200,"version":"3.37.3"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T00:00:00Z","timestamp":1654128000000},"content-version":"vor","delay-in-days":152,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2022,1,15]],"date-time":"2022-01-15T00:00:00Z","timestamp":1642204800000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>\n          Background Fingertip injuries are very common; however, the reconstruction of volar pulp defects with nail bed defects is challenging in the absence of the amputated segment. We reconstructed fingertip amputations with nail bed defects using a new surgical approach: a subcutaneous flap and composite graft.<\/jats:p><jats:p>\n          Methods We treated 10 fingertip amputation patients without an amputated segment, with exposed distal phalangeal bone and full-thickness nail bed defects between February 2018 and December 2020. All patients underwent two-stage surgery: in the first stage, a subcutaneous flap was performed to cover the exposed distal phalanx, and in the second stage, a composite graft, consisting of nail bed, hyponychium, and volar pulp skin, was applied over the subcutaneous flap.<\/jats:p><jats:p>\n          Results All flaps survived and all composite grafts were successful. The wounds healed without any significant complications, including the donor site. The average follow-up duration was 11.2 months (range, 3\u201327 months). The new nail and the shape of the volar pulp were evaluated during follow-up. All patients were satisfied with their natural fingertip shapes and the new nails did not have any serious deformities.<\/jats:p><jats:p>\n          Conclusions A subcutaneous flap in combination with a composite graft fitting the shape of the defect could be another option for fingertip injuries without amputated segments.<\/jats:p>","DOI":"10.5999\/aps.2021.01200","type":"journal-article","created":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T00:20:22Z","timestamp":1642638022000},"page":"70-75","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Fingertip reconstruction with a subcutaneous flap and composite graft composed of nail bed and volar pulp skin"],"prefix":"10.1055","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8094-2561","authenticated-orcid":false,"given":"Sung Hoon","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6856-4895","authenticated-orcid":false,"given":"Ilou","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3369-2974","authenticated-orcid":false,"given":"Jin Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4211-6901","authenticated-orcid":false,"given":"Dong Chul","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8625-6124","authenticated-orcid":false,"given":"Si Young","family":"Roh","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9448-8291","authenticated-orcid":false,"given":"Kyung Jin","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8587-7420","authenticated-orcid":false,"given":"Min Ki","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, International St. Mary\u2019s Hospital, Incheon, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,6,2]]},"reference":[{"key":"ref1","first-page":"614","article-title":"Approach to traumatic hand injuries for primary care physicians","volume":"59","author":"K Cheung","year":"2013","journal-title":"Can Fam Physician"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1142\/S021881041550032X","article-title":"Characteristics of fingertip injuries in children in Singapore","volume":"20","author":"M Satku","year":"2015","journal-title":"Hand Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/S0363-5023(09)91123-6","article-title":"Arterial system of the fingers","volume":"15","author":"B Strauch","year":"1990","journal-title":"J Hand Surg Am"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1055\/s-0036-1588005","article-title":"Anatomical study of the fingertip artery in Tamai zone I: clinical significance in fingertip replantation","volume":"33","author":"YS Nam","year":"2017","journal-title":"J Reconstr Microsurg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"282","DOI":"10.12790\/ahm.20.0047","article-title":"Fingertip reconstruction with subcutaneous island flap and composite graft: a case report","volume":"25","author":"J Park","year":"2020","journal-title":"Arch Hand Microsurg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"e584","DOI":"10.1097\/GOX.0000000000000569","article-title":"Free pulp transfer for fingertip reconstruction: the algorithm for complicated Allen fingertip defect","volume":"3","author":"GA Spyropoulou","year":"2016","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/S0363-5023(84)80153-7","article-title":"A study of nail bed injuries: causes, treatment, and prognosis","volume":"9","author":"EG Zook","year":"1984","journal-title":"J Hand Surg Am"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"921","DOI":"10.2106\/00004623-197052050-00006","article-title":"Reconstruction of the amputated finger tip with a triangular volar flap: a new surgical procedure","volume":"52","author":"E Atasoy","year":"1970","journal-title":"J Bone Joint Surg Am"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"817","DOI":"10.2106\/00004623-196446040-00011","article-title":"Aspects of sensation in reconstructive surgery of the upper extremity","volume":"46","author":"E Moberg","year":"1964","journal-title":"J Bone Joint Surg Am"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1001\/jama.1947.62880010007007","article-title":"A new method for finger tip amputation","volume":"133","author":"W Kutler","year":"1947","journal-title":"J Am Med Assoc"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"17","DOI":"10.3390\/medicina56010017","article-title":"Reconstruction for defects of total nail bed and germinal matrix loss with acellular dermal matrix coverage and subsequently skin graft","volume":"56","author":"TH Liu","year":"2020","journal-title":"Medicina (Kaunas)"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1053\/jhsu.1999.0345","article-title":"Fingertip reconstruction with flaps and nail bed grafts","volume":"24","author":"RE Brown","year":"1999","journal-title":"J Hand Surg Am"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/S0363-5023(83)80052-5","article-title":"Treatment of nail bed avulsions with splitthickness nail bed grafts","volume":"8","author":"GH Shepard","year":"1983","journal-title":"J Hand Surg Am"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/S0749-0712(21)01244-0","article-title":"Microvascular nail transfer","volume":"6","author":"WA Morrison","year":"1990","journal-title":"Hand Clin"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"57","DOI":"10.5999\/aps.2018.00227","article-title":"Nail bed defect reconstruction using a thenar fascial flap and subsequent nail bed grafting","volume":"46","author":"KJ Lee","year":"2019","journal-title":"Arch Plast Surg"}],"container-title":["Archives of Plastic 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