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

The reconstruction of lateral nail fold in radial polydactyly with a common nail

Meeting Abstract

Search Medline for

  • presenting/speaker Weiyang Gao - The Second Affiliated Hospital of Wenzhou Medical University, Yuying Childrens Hospital of Wenzhou Medical University, Wenzhou, China
  • Long Wang - The Second Affiliated Hospital of Wenzhou Medical University, Yuying Childrens Hospital of Wenzhou Medical University, Wenzhou, China
  • Jian Ding - The Second Affiliated Hospital of Wenzhou Medical University, Yuying Childrens Hospital of Wenzhou Medical University, Wenzhou, China
  • Anyuan Wang - The Second Affiliated Hospital of Wenzhou Medical University, Yuying Childrens Hospital of Wenzhou Medical University, Wenzhou, China
  • Zongwei Zhou - The Second Affiliated Hospital of Wenzhou Medical University, Yuying Childrens Hospital of Wenzhou Medical University, Wenzhou, China

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. DocIFSSH19-1039

doi: 10.3205/19ifssh1372, urn:nbn:de:0183-19ifssh13720

Published: February 6, 2020

© 2020 Gao 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: In this study, we developed a new surgical technique to reconstruct the lateral nail fold of radial polydactyly.

Methods: From December 2012 to October 2015, sixteen cases had a common nail and were treated with a flap from finger pulp. Unilateral inverting suture was performed between the flap and nail bed to reconstruct the lateral nail fold and nail groove.

Results and Conclusions: The follow-up period ranged from 10-45 months. The reconstructed nails had even curvature with a natural-looking of the lunula, and the nail width was about 80%-100% of their normal sides. Four cases had a right angle between the nail epithelium and lateral nail fold, and two had acute angle. The reconstructed nails were asymmetrical in these thumbs. One patients showed a hypertrophy in the lateral nail fold. The reconstructed nails were evaluated by Wang-Gao scoring system (total 12): 10 in two cases, 11 in four and 12 in ten. All the nails had excellent results.

The nail width usually is more than 80% of the normal sides in the radial polydactyly with a common nail. Thus, there is no indication of Bilhaut-Cloquet procedure. Our surgical technique can reconstruct the lateral nail fold and nail groove, and avoid the nail deformity caused by the Bilhaut-Cloquet procedure.