Publications by authors named "Nicholas W S Smith"
The Top-Hat Flap: A New Technique for Segmental Nailbed Reconstruction.
Plast Reconstr Surg
September 2024
Article Synopsis
- The study analyzed the use of a "top-hat flap," which utilizes the finger or thumb tip for reconstructing segmental defects in the distal phalanx, nailbed, or pulp in 28 cases over 7 years with a minimum follow-up of 12 months.
- All flaps successfully survived, leading to a high rate of functional recovery, with 75% of patients achieving full motion in the distal interphalangeal joint and 92% returning to work within 3 months.
- The findings suggest that top-hat flaps are effective for treating complex finger injuries, demonstrating a low average digit impairment score of 19%.