Advertisement

Pedicled Osteo-Onchyocutaneous Island Flap for Finger Macrodactyly: A Review of Literature

      We present a case of middle finger macrodactyly reconstructed in a single stage using multiple techniques. We elevated a pedicled osteo-onychocutaneous island flap, excised the remnant distal phalanx with a segment of 1 digital nerve and skin over the dorsum of the middle phalanx, performed epiphysiodesis and reduction of the middle phalanx as well as soft-tissue debulking, and inset the flap over the dorsum of the middle phalanx. Follow-up at 12 months revealed a satisfactory aesthetic and functional outcome.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Hand Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Mouly R.
        • Debeyre J.
        Digital gigantism. Etiology and treatment. Apropos of a case.
        Ann Chir Plast. 1961; 6: 187-194
        • Barsky A.J.
        Macrodactyly.
        J Bone Joint Surg Am. 1967; 49: 1255-1266
        • Tsuge K.
        Treatment of macrodactyly.
        Plast Reconstr Surg. 1967; 39: 590-599
        • Rosenberg L.
        • Yanai A.
        • Mahler D.
        A nail island flap for treatment of macrodactyly.
        Hand. 1983; 15: 167-172
        • Uemura T.
        • Kazuki K.
        • Okada M.
        • Egi T.
        • Takaoka K.
        A case of toe macrodactyly treated by application of a vascularised nail graft.
        Br J Plast Surg. 2005; 58: 1020-1024
        • Sabapathy S.R.
        • Roberts J.O.
        • Regan P.J.
        • Ramaswamy C.N.
        Pedal macrodactyly treated by digital shortening and free nail graft; a report of two cases.
        Br J Plast Surg. 1990; 43: 116-119
        • Pho R.W.
        • Patterson M.
        • Lee Y.S.
        Reconstruction and pathology in macrodactyly.
        J Hand Surg Am. 1988; 13: 78-83
        • Dautel G.
        • Vialaneix J.
        • Faivre S.
        Island nail transfer in the treatment of macrodactyly of the great toe: a case report.
        J Foot Ankle Surg. 2004; 43: 113-118
        • Downey-Carmona F.J.
        • Lagares A.
        • Farrington-Rueda D.
        • Lirola-Criado J.
        Island nail flap in the treatment of foot macrodactyly of the first ray in children: report of two cases.
        J Child Orthop. 2015; 9: 281-285
        • Gluck J.S.
        • Ezaki M.
        Surgical treatment of macrodactyly.
        J Hand Surg Am. 2015; 40: 1461-1468