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복합조직이식을 이용한 갈고리 손톱 변형 교정의 임상례

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Author(s)
손대구손형빈김현지Dae Gu SonHyung Bin SohnHyun Ji Kim
Keimyung Author(s)
Son, Dae Gu
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
대한성형외과학회지
Issued Date
2007
Volume
34
Issue
3
Abstract
PURPOSE: Hook nail deformity is caused by inadequately supported nail bed due to loss of distal phalanx or lack of soft tissue, resulting in a claw-like nail form. A composite graft from the foot bencath the nail bed gives adequate restoration of tip pulp.
METHODS: From September of 1999 to March of 2004, six patients were treated for hook nail deformity and monitored for long term follow up. Donor sites were the lateral side of the big toe or instep area of the foot. We examined cosmetic appearance and nail hooking and sensory test. The curved nail was measured by the picture of before and after surgery.
RESULTS: In all cases, composite grafts were well taken, and hook nail deformities were corrected. The curved nail of the 4 patients after surgery were improved to average 28.7˚ from average 55.2˚ before surgery. The static two point discrimination average was 6.5mm and the moving two point discrimination average was 5.8mm in the sensory test.
CONCLUSION: Composite graft taken from foot supports the nail bed with the tissue closely resembling the fingertip tissue, making it possible for anatomical and histological rebuilding of fingertip.
Alternative Title
Correction of Hook Nail Deformity with Composite Graft
Keimyung Author(s)(Kor)
손대구
Publisher
School of Medicine
Citation
손대구 et al. (2007). 복합조직이식을 이용한 갈고리 손톱 변형 교정의 임상례. 대한성형외과학회지, 34(3), 377–382.
Type
Article
ISSN
1015-6402
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39293
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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