gms | German Medical Science

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

Article

Send article

Nail unit matrix transplantation – aesthetic surgery after traumatic amputation of the distal phalanx

Meeting Abstract

Search Medline for

  • presenting/speaker Johanna Ueberberg - Uniklinik Münster, Unfall-, Hand- und Wiederherstellungschirurgie, Münster, Germany
  • Martin Langer - Uniklinik Münster, Unfall-, Hand- und Wiederherstellungschirurgie, Münster, Germany

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. DocIFSSH19-1971

doi: 10.3205/19ifssh0975, urn:nbn:de:0183-19ifssh09755

Published: February 6, 2020

© 2020 Ueberberg et al.
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: A young man presented himself in our department with the wish of a nail transplantation. Years ago he had suffered from a traumatic partial amputation of the distal phalanx of his index finger causing the loss of his nail. Besides the floppy feeling aesthetic reasons were his main intention for wishing a reconstructive procedure.

Methods: We offered two different possibilities: a skin graft to simulate a nail which he didn't favor because the floppy feeling would persist. Second option was the transplantation of two half toe nail matrix grafts which would cause a narrowing of the toe nails while receiving one new nail for his index finger.

He chose the nail unit matrix transplantation which went really well.

The donor toes were of the same side. The whole procedure was documented in detail.

The patient was able to leave the clinic on the same day and the whole surgery was performed in local anesthesia.

Results and Conclusions: In this case we received a good cosmetic result and a pleased patient.

Nevertheless complications like infections, rejection of the nail and its matrix and unsatisfying cosmetic results have to be discussed before.