Free Vascularized Nail Graft under Digital Block

ABSTRACT

Vascularized toenail grafts with long vascular pedicles have usually been transferred under general anesthesia. In this paper, a minimally invasive vascularized nail graft with a short pedicle and small cutaneous flap, which was successfully transferred under digital block of the finger and toe, is described.

KEYWORD

Fingertip reconstruction - vascularized toenail graft - digital block of finger and toe

REFERENCES

• 1 Koshima I, Soeda S, Takase T. Free vascularized nail grafts.  J Hand Surg . 1988;  13A 29
• 2 Koshima I, Moriguchi T, Soeda S. One-stage reconstruction for amputated thumbs with melanoma.  J Reconstr Microsurg . 1991;  7 113
• 3 Nakayama Y, Iino T, Uchida A. Vascularized free nail grafts nourished by arterial inflow from the venous system.  Plast Reconstr Surg . 1996;  97 656
• 4 Endo T, Nakayama Y. Short-pedicle vascularized nail flap.  Plast Reconstr Surg . 1996;  97 656
• 5 Hirase Y, Kojima T, Matsui M. Aesthetic fingertip reconstruction with a free vascularized nail graft: a review of 60 flaps involving partial toe transfers.  Plast Reconstr Surg . 1997;  99 774
• 6 Endo T, Nakayama Y, Soeda S. Nail transfer: evolution of the reconstructive procedure.  Plast Reconstr Surg . 1997;  100 907
• 7 Woo S H, Seul J H. Distal thumb reconstruction with a great toe partial nail-preserving transfer technique.  Plast Reconstr Surg . 1998;  101 114
• 8 Shibata M, Seki T, Yoshizu T. Microsurgical toenail transfer to the hand.  Plast Reconstr Surg . 1999;  88 102
• 9 Koshima I, Inagawa K, Urushibara K. Fingertip reconstructions using partial toe transfers.  Plast Reconstr Surg . 2000;  105 1666