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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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A novel method of finger tip reconstruction with composite graft

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  • presenting/speaker Govindasamy Balakrishnan - Right Hospitals, Chennai, India

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-353

doi: 10.3205/19ifssh0264, urn:nbn:de:0183-19ifssh02644

Published: February 6, 2020

© 2020 Balakrishnan.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: Finger tip amputations remain a challenge to the reconstructive hand surgeon to restore the lost nail bed. Reimplantation is ideal but may not be possible in all occasions of amputation at terminal phalangeal level.

Methods: A novel method of finger tip reconstruction was performed using a composite graft of nail bed and sliver of terminal phalanx with a cross finger flap. The procedure was carried out in a series of patients and the results were analysed.

Results and Conclusions: We would like to present our indications for the procedure, technical considerations of the reconstructive surgery and discuss the results and functional outcome of this reconstructive option.