Abstract
Introduction: Unlike volar or pulp defects of fingers, nail bed loss or defects are challenging for plastic and hand surgeons. It is difficult to achieve the best esthetic fingernails following nail bed defects. The reverse adipofascial cross-finger flap is a promising option for reconstructing more natural-looking fingernails. Materials and Methods: Twelve patients who underwent reverse adipofascial cross-finger flap for nail and pulp defects were reviewed. Results: All patients were satisfied with the esthetic appearance of their nail plate and color. Overall, 83.3% of patients graded their finger as excellent and good, compared to the normal finger on the opposite hand.
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