A case of toe macrodactyly treated by application of a vascularised nail graft

• Published in: British journal of plastic surgery Vol. 58; no. 7; pp. 1020 - 1024
• Main Authors: Uemura, T., Kazuki, K., Okada, M., Egi, T., Takaoka, K.
• Format: Journal Article
• Language: English
• Published: Oxford Elsevier Ltd 01.10.2005; Elsevier
• Subjects: Adult; Biological and medical sciences; Female; Foot Deformities, Congenital - diagnostic imaging; Foot Deformities, Congenital - surgery; Humans; Island pedicle flap; Macrodactyly; Medical sciences; Nails - blood supply; Nails - transplantation; Radiography; Reconstructive Surgical Procedures - methods; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgical Flaps - blood supply; Toe; Toes - abnormalities; Toes - diagnostic imaging; Toes - surgery; Vascularised nail graft; Vascularised nail graft; Island pedicle flap; Macrodactyly; Toe; Case study; Human; Pedicle flap; Nail(anatomy); Treatment; Surgery; Graft; Island flap
• ISSN: 0007-1226; 1465-3087
• DOI: 10.1016/j.bjps.2005.05.013

Macrodactyly is a relatively rare congenital abnormality of the fingers and toes and is difficult to treat. We report a new method for treating toe macrodactyly in which a nail with a vascularised pedicle is raised, the toe is shortened to an appropriate length, and the nail transferred to an aesthetically appropriate proximal site. Although this technique is of a higher level of difficulty than conventional procedures involving pedicled nail flaps, allows aesthetically more favourable nail reconstruction by single-stage operation.