Arterial anatomy of the second toe nail bed related to toenail transfer

Kun Hwang; Sae H. Ki; Hyuk G. Choi; Sejin Hwang; Dong H. Kim; Seung H. Han

doi:10.1002/micr.20819

Arterial anatomy of the second toe nail bed related to toenail transfer

Kun Hwang, Sae H. Ki, Hyuk G. Choi, Sejin Hwang, Dong H. Kim, Seung H. Han

Department of Anatomy

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

The aim of this study was to elucidate the exact course of the terminal branches of the plantar digital artery (PDA) to the nail bed of the second toe. Thirteen second toes from seven fresh Korean cadavers were dissected (age range 74-92 years, four men and three women). The terminal segmental branches (TSB) branched off from the PDA at 7.6 ± 0.7 mm proximal to the nail fold. The fibro-osseous hiatus branch (FHB) branched off from the PDA at 3.3 ± 0.7 mm from the nail fold. They were 3.8 ± 1.0 mm lateral to the paronychium. Diameters of TSB and FHB were 0.8 ± 0.2 mm and 0.7 ± 0.1 mm, respectively. Diameter of PDA was 1.4 ± 0.2 mm. Surgeons should stay at least 4 mm proximal to the nail fold to avoid injury to the terminal branch. We believe that second toenail with minimum amount of soft tissue may be transferred using FHB-based vascularized toenail flap. Perfusion study and clinical application should be followed.

Original language	English
Pages (from-to)	646-648
Number of pages	3
Journal	Microsurgery
Volume	30
Issue number	8
DOIs	https://doi.org/10.1002/micr.20819
State	Published - Nov 2010

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title = "Arterial anatomy of the second toe nail bed related to toenail transfer",

abstract = "The aim of this study was to elucidate the exact course of the terminal branches of the plantar digital artery (PDA) to the nail bed of the second toe. Thirteen second toes from seven fresh Korean cadavers were dissected (age range 74-92 years, four men and three women). The terminal segmental branches (TSB) branched off from the PDA at 7.6 ± 0.7 mm proximal to the nail fold. The fibro-osseous hiatus branch (FHB) branched off from the PDA at 3.3 ± 0.7 mm from the nail fold. They were 3.8 ± 1.0 mm lateral to the paronychium. Diameters of TSB and FHB were 0.8 ± 0.2 mm and 0.7 ± 0.1 mm, respectively. Diameter of PDA was 1.4 ± 0.2 mm. Surgeons should stay at least 4 mm proximal to the nail fold to avoid injury to the terminal branch. We believe that second toenail with minimum amount of soft tissue may be transferred using FHB-based vascularized toenail flap. Perfusion study and clinical application should be followed.",

author = "Kun Hwang and Ki, {Sae H.} and Choi, {Hyuk G.} and Sejin Hwang and Kim, {Dong H.} and Han, {Seung H.}",

year = "2010",

month = nov,

doi = "10.1002/micr.20819",

language = "English",

volume = "30",

pages = "646--648",

journal = "Microsurgery",

issn = "0738-1085",

publisher = "Wiley-Liss Inc.",

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T1 - Arterial anatomy of the second toe nail bed related to toenail transfer

AU - Hwang, Kun

AU - Ki, Sae H.

AU - Choi, Hyuk G.

AU - Hwang, Sejin

AU - Kim, Dong H.

AU - Han, Seung H.

PY - 2010/11

Y1 - 2010/11

N2 - The aim of this study was to elucidate the exact course of the terminal branches of the plantar digital artery (PDA) to the nail bed of the second toe. Thirteen second toes from seven fresh Korean cadavers were dissected (age range 74-92 years, four men and three women). The terminal segmental branches (TSB) branched off from the PDA at 7.6 ± 0.7 mm proximal to the nail fold. The fibro-osseous hiatus branch (FHB) branched off from the PDA at 3.3 ± 0.7 mm from the nail fold. They were 3.8 ± 1.0 mm lateral to the paronychium. Diameters of TSB and FHB were 0.8 ± 0.2 mm and 0.7 ± 0.1 mm, respectively. Diameter of PDA was 1.4 ± 0.2 mm. Surgeons should stay at least 4 mm proximal to the nail fold to avoid injury to the terminal branch. We believe that second toenail with minimum amount of soft tissue may be transferred using FHB-based vascularized toenail flap. Perfusion study and clinical application should be followed.

AB - The aim of this study was to elucidate the exact course of the terminal branches of the plantar digital artery (PDA) to the nail bed of the second toe. Thirteen second toes from seven fresh Korean cadavers were dissected (age range 74-92 years, four men and three women). The terminal segmental branches (TSB) branched off from the PDA at 7.6 ± 0.7 mm proximal to the nail fold. The fibro-osseous hiatus branch (FHB) branched off from the PDA at 3.3 ± 0.7 mm from the nail fold. They were 3.8 ± 1.0 mm lateral to the paronychium. Diameters of TSB and FHB were 0.8 ± 0.2 mm and 0.7 ± 0.1 mm, respectively. Diameter of PDA was 1.4 ± 0.2 mm. Surgeons should stay at least 4 mm proximal to the nail fold to avoid injury to the terminal branch. We believe that second toenail with minimum amount of soft tissue may be transferred using FHB-based vascularized toenail flap. Perfusion study and clinical application should be followed.

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U2 - 10.1002/micr.20819

DO - 10.1002/micr.20819

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AN - SCOPUS:78649275689

SN - 0738-1085

VL - 30

SP - 646

EP - 648

JO - Microsurgery

JF - Microsurgery

IS - 8

ER -

Arterial anatomy of the second toe nail bed related to toenail transfer

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