Search Our Scientific Publications & Authors

J Clin Med 2022 Jun 13;11(12). Epub 2022 Jun 13.

Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29, Saemunan-ro, Jongno-gu, Seoul 03181, Korea.

This study aimed to demonstrate the expanding versatility of keystone flap reconstruction in fingertips. Fifteen patients who underwent the modified mini-keystone flap reconstruction for tiny volar pulp defects of the fingertip between September 2020 and February 2021 were included in this study (average age: 43.4 ± 13. Read More

J Hand Surg Glob Online 2021 Jul 27;3(4):215-217. Epub 2021 Apr 27.

Department of Orthopedics, St. Joseph's Regional Medical Center, Paterson, NJ.

The use of epinephrine-containing digital nerve blocks has been shown to be safe in recent literature, challenging the historical fear of complications arising from irreversible ischemia. We present a rare case of digital tip necrosis following the injection of lidocaine-containing epinephrine for the purpose of wart removal using cryotherapy, ultimately requiring amputation. Read More

Dev Biol 2022 06 27;486:71-80. Epub 2022 Mar 27.

Department of Veterinary Physiology and Pharmacology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, 77843, USA; Department of Cell and Molecular Biology, School of Science and Engineering, Tulane University, New Orleans, LA, 70118, USA. Electronic address:

It is long-established that innervation-dependent production of neurotrophic factors is required for blastema formation and epimorphic regeneration of appendages in fish and amphibians. The regenerating mouse digit tip and the human fingertip are mammalian models for epimorphic regeneration, and limb denervation in mice inhibits this response. A complicating issue of limb denervation studies in terrestrial vertebrates is that the experimental models also cause severe paralysis therefore impairing appendage use and diminishing mechanical loading of the denervated tissues. Read More

JPRAS Open 2022 Jun 8;32:111-115. Epub 2022 Mar 8.

Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.

Different approaches to fingertip reconstructions are reported for cases in which microsurgical replantation is impossible. This report presents two cases of bipedicled digital artery perforator adiposal flaps for fingertip reconstruction after traumatic amputations. Adiposal flaps, including the radial and ulnar digital artery perforator vessels proximal to the distal interphalangeal joint, were elevated and turned to cover the fingertip defect. Read More

Hand (N Y) 2022 Mar 21:15589447221081863. Epub 2022 Mar 21.

Yotsuya Medical Cube, Tokyo, Japan.

Background: This study aimed to compare the outcomes of reverse digital artery island flap (RDAIF) in primary and secondary reconstruction after failed replantation or composite graft method.

Methods: This study retrospectively analyzed 42 patients that underwent RDAIF (18 primary and 24 secondary). Preoperative details (demographics, injury details, and waiting days) and postoperative outcomes (active arc of proximal interphalangeal [PIP] and distal interphalangeal (DIP) joints, extension loss of PIP, flexion arc of metacarpophalangeal joint, total active motion, flap sensation, the presence of numbness, Tinel's sign and cold intolerance) were evaluated. Read More

Indian Dermatol Online J 2022 Mar-Apr;13(2):290-291. Epub 2021 Jun 21.

Department of Dermatology, Kasturba Medical College, Manipal, Karnataka, India.

Rev Bras Ortop (Sao Paulo) 2022 Feb 25;57(1):108-112. Epub 2021 Oct 25.

Residente, Departamento de Ensino, Instituto Mexicano del Seguro Social, Universidad de Guadalajara, Puerto Vallarta, Jalisco, Mexico.

 To describe and compare the results obtained with a secondary healing protocol for fingertip amputations and their relationship to injury severity according to the Allen classification.  Medical records of 127 fingertip injuries were revised, and a retrospective, comparative, analytical study the amputations treated conservatively was performed. Injury characteristics, healing time, and complications were described and analyzed. Read More

Plast Reconstr Surg Glob Open 2022 Jan 27;10(1):e4035. Epub 2022 Jan 27.

Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.

Morton's neuroma (MN) is a painful, proliferative fibrosis of perineural tissue caused by pressure or recurrent irritation that was previously thought to affect only the common interdigital nerve of the foot. We present a case of a bilateral MN of both the ulnar and radial proper digital nerves of the fifth finger in a 30-year-old patient, following multiple surgeries on the aforementioned finger. The patient was referred to our center by a peripheral hospital after traumatic fingertip amputation distal the DIP joint, where the fingertip was initially simply sutured. Read More

Plast Reconstr Surg 2022 04;149(4):889-896

From the Department of Hand Surgery, Tokyo Hand Surgery and Sports Medicine Institute, Takatsuki Orthopaedic Hospital; Department of Hand Surgery and Microsurgery, Yotsuya Medical Cube; and Department of Plastic and Reconstructive Surgery, Graduate School of Science, Tokyo Medical and Dental University.

Background: Replantation of amputated digits at the nail bed level is surgically challenging and differs from replantation at a more proximal amputation level. This study aimed to determine the predictors influencing the success rate of fingertip replantation.

Methods: Overall, 239 digits of 226 patients who underwent replantation surgery from August of 2009 to March of 2020 were considered. Read More

J Hand Surg Asian Pac Vol 2022 Feb 9;27(1):49-56. Epub 2022 Feb 9.

Department of Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

The standard cross-finger flap (CFF) and laterally based thenar flap (LTF) are the time-tested modalities of fingertip reconstruction. We were unable to find any studies that have compared these two flaps for fingertip reconstruction. The aim of this study is compare the outcomes of these two flaps at 11 months after fingertip reconstruction. Read More

Microsurgery 2022 05 29;42(4):391-392. Epub 2022 Jan 29.

Department of Plastic and Reconstructive Surgery, National Center for Global Health and Medicine, Tokyo, Japan.

Arch Plast Surg 2022 Jan 15;49(1):70-75. Epub 2022 Jan 15.

Department of Plastic and Reconstructive Surgery, International St. Mary's Hospital, Incheon, Korea.

Background: Fingertip injuries are very common; however, the reconstruction of volar pulp defects with nail bed defects is challenging in the absence of the amputated segment. We reconstructed fingertip amputations with nail bed defects using a new surgical approach: a subcutaneous flap and composite graft.

Methods: We treated 10 fingertip amputation patients without an amputated segment, with exposed distal phalangeal bone and full-thickness nail bed defects between February 2018 and December 2020. Read More

Case Reports Plast Surg Hand Surg 2022 27;9(1):33-36. Epub 2021 Dec 27.

Department of Plastic and Reconstructive Surgery, Mie University, Tsu, Japan.

We report a unique case of cold intolerance following identical fingertip amputations of two fingers on the same hand. The index finger was replanted and the middle finger was reconstructed with a free flow-through hypothenar perforator flap to anatomically restore the digital arterial arch circulation and successfully treat cold intolerance. Read More

Plast Reconstr Surg 2022 Jan;149(1):38e-47e

From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College and Chang Gung University; and Chicing Plastic Surgery Clinic.

Background: Fingertip replantation is technically challenging. Venous congestion is one of the most common causes of replantation failure. Therefore, various venous drainage procedures and salvage techniques have been used in venous congestion. Read More

Afr J Paediatr Surg 2022 Jan-Mar;19(1):5-8

Hassan II University Hospital of Faz, Department of Pediatric Surgery; Sidi Mohamed Ben Abdallah University of Faz; Faculty of Medicine and Pharmacy Fes, Morocco.

Objectives: We aim to describe the management of fingertip injuries treated by flaps in the paediatric surgery emergency ward and evaluate the long-term results.

Patients And Methods: Through a 2-year prospective study, we analysed all fingertip injuries treated by flaps in the paediatric emergency ward. We collected patients' data and the clinical and imaging characteristics of the lesions. Read More

World J Plast Surg 2021 Sep;10(3):8-17

Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, India.

Background: Many different flaps had been described to cover exposed bone in fingertip amputations and injuries. The variants of VY advancement flap, by far the simplest, had proven to render good functional and aesthetic outcome. We aimed to revisit and compare the various VY advancement flaps in fingertip reconstruction. Read More

Acta Chir Plast 2021 ;63(3):113-117

Background: Fingertips are the most commonly injured anatomical structures in the upper extremity. The aim of this work is to present our experience in the management of fingertip injuries.

Methods: All patients with fingertip injuries managed by Plastic and Reconstructive Surgery Division of Hospital General “Dr Manuel Gea Gonzalez” in Mexico from July 2010 to June 2015 were included; their demographic characteristics were described, as well as patterns of injury and management. Read More

J Bone Miner Res 2022 02 7;37(2):312-322. Epub 2021 Dec 7.

Department of Veterinary Physiology and Pharmacology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, USA.

Amputation of the mouse digit tip results in blastema-mediated regeneration. In this model, new bone regenerates de novo to lengthen the amputated stump bone, resulting in a functional replacement of the terminal phalangeal element along with associated non-skeletal tissues. Physiological examples of bone repair, such as distraction osteogenesis and fracture repair, are well known to require mechanical loading. Read More

J Plast Reconstr Aesthet Surg 2022 Jan 22;75(1):439-488. Epub 2021 Oct 22.

Department of Plastic and Reconstructive Surgery, Ningbo First Hospital, 59th Liuting Road, Ningbo 315000, China.

Pediatr Emerg Care 2022 Feb;38(2):e776-e783

From the Children's Emergency, KK Women's and Children's Hospital.

Background: Fingertip injuries are among the most common hand injuries in children and result in significant health, time, and a financial burden. Nailbed injuries constitute a large proportion of fingertip injuries and are frequent in children.

Objectives: This study aimed to examine the epidemiology, injury patterns, and treatment strategies implemented in patients with nailbed injuries between 0 and 18 years of age. Read More

J Clin Med 2021 Sep 20;10(18). Epub 2021 Sep 20.

Department of Surgery, Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA.

Hand injuries often result in significant functional impairments and are rarely completely restored. The spontaneous regeneration of injured appendages, which occurs in salamanders and newts, for example, has been reported in human fingertips after distal amputation, but this type of regeneration is rare in mammals and is incompletely understood. Here, we study fingertip regeneration by amputating murine digit tips, either distally to initiate regeneration, or proximally, causing fibrosis. Read More

Cureus 2021 Aug 10;13(8):e17068. Epub 2021 Aug 10.

First Department of Orthopedics, Attikon University Hospital, Athens, GRC.

There is ongoing controversy regarding the best treatment of fingertip amputations, conservative treatment with secondary healing or surgical intervention. Healing by secondary intention has been proven to offer satisfactory recovery and function. More extensive wounds are treated surgically. Read More

J Hand Surg Asian Pac Vol 2021 Sep;26(3):417-424

Department of Orthopaedic Surgery, Osaka City General Hospital, Osaka, Japan.

Both arterial and venous repair are crucial for optimal results in digital replantation. However, anastomosis of veins becomes challenging in very distal fingertip amputation. This study aimed to report the clinical results of an artery-only replantation without vein repair for a distal fingertip amputation and to analyze the survival rate and clinical outcomes based on the amputation level. Read More

J Plast Surg Hand Surg 2021 Aug 8:1-5. Epub 2021 Aug 8.

Department of Plastic Surgery, Baby Memorial Hospital, Kozhikode, India.

Fingertip injuries result in significant morbidity. It is associated with pain, loss of work and recreational hours, financial burden, and distortion of body image. Although it is a common injury, the epidemiology of fingertip injury is a subject with scanty literature. Read More

Plast Reconstr Surg Glob Open 2021 Jun 7;9(6):e3624. Epub 2021 Jun 7.

Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan.

Replantation is an ideal method for treating fingertip amputation. However, in some cases, replantation is known to be a challenging issue. This report described a successful thumb tip reconstruction performed with bone and nail bed salvaged as spare parts, and a free posterior interosseous artery perforator (PIAP) flap. Read More

Orthop Traumatol Surg Res 2021 09 5;107(5):102981. Epub 2021 Jun 5.

Institut européen de la main, Hôpital Kirchberg, 9, rue Edward-Steichen, 2540 Luxembourg, Luxembourg.

Introduction: Anterograde homodigital neurovascular island flaps are very useful for reconstructing proximal fingertip amputations with exposed bone but have the disadvantage of bringing about proximal interphalangeal joint (PIPJ) stiffness. The addition of a single or double V-Y plasty increases mobility without having to extend the dissection beyond the PIPJ. The purpose of this study was to examine the long-term functional outcome of patients who received a "short" anterograde homodigital neurovascular island flap with a single or double V-Y plasty. Read More

Int J Artif Organs 2021 Dec 3;44(12):1021-1028. Epub 2021 Jun 3.

Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD, USA.

Purpose: This work presents unique designs for prosthetic restoration of the distal finger. We first discuss fitting a prosthetic nail in order to restore the cosmetic deficit caused by partial or complete nail injury. This concept is inspired from snap fit and lanced sheet metal technology. Read More

J Hand Surg Eur Vol 2021 10 21;46(8):865-872. Epub 2021 May 21.

Department of Orthopaedics and Traumatology, Adana City Training and Research Hospital, Adana, Turkey.

We report the use of obliquely oriented V-Y advancement pulp flaps to reconstruct 17 consecutive, lateral oblique fingertip traumatic defects over a 2-year period. All flaps survived completely with no bone protuberance, prominent scar or neuroma evident at an average follow-up of 11 months (range 7 to 19). Although there was no incidence of severe hook nail deformities, there were two patients who had residual mild hook nails, two with pulp/nail asymmetries and one with an ingrown nail. Read More

Hand Surg Rehabil 2021 09 23;40(4):484-490. Epub 2021 Apr 23.

Epidemiology Laboratory of the Faculty of Medicine and Pharmacy of Casablanca, Rue Tarik Ibnou Ziad, 20250 Casablanca, Morocco.

While various techniques are used for the reconstruction of fingertip injuries, the main goals remain the same: preserve finger length, sensation, and function. The thenar flap is a well-described technique and simple procedure in fingertip amputations. This study aimed to evaluate the long-term functional and esthetic outcomes along with patient satisfaction of thenar flaps done for fingertip defects. Read More

J Hand Surg Eur Vol 2021 10 24;46(8):877-882. Epub 2021 Mar 24.

Department of Plastic, Aesthetic and Reconstructive Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.

The purpose of this retrospective study was to compare the outcomes of paediatric and adult fingertip replantation within a single institution. Our retrospective study found no significant difference in the survival rate between the paediatric (10/12) and adult (22/26) groups. At 6 months follow-up, there was no significant difference in sensory recovery between both groups, as measured with Semmes-Weinstein testing, but a significant difference in mean static two-point discrimination testing values between the paediatric (4. Read More