Luchador pulp flap for amniotic band syndrome distal fingertip and lateral nail fold reconstruction

Abstract

Amniotic band syndrome affecting the distal tip of the finger can result in a significant distal pulp and lateral nail fold deformity. Loss of the lateral nail fold can be further complicated by abnormal nail growth and increased risk of infection. Traditional reconstructive techniques utilizing Z-plasties or skin grafts can result in sub-optimal aesthetic and functional outcomes. Here the authors present a novel local flap technique, the “Luchador pulp flap” for distal tip amniotic band syndrome that allows for local tissue rearrangement to reconstruct the pulp and lateral nail folds for an enhanced appearance and functional outcome.

Keywords

• Amniotic band syndrome
• Constriction ring
• Pediatric hand surgery
• Fingertip reconstruction
• Congenital hand