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The author describes an original and new method to lengthen the fingernail plate in distal digital amputation. After digital amputation, the loss of substance concerns the pulp tissue and fingernail apparatus. Generally, most palmar falp techniques can restore functional and aesthetic pulp. The fingernail defect is obviously not tolerated by the patient and needs to be corrected. The eponychial flap is a backward cutaneous translation flap. This flap lengthens the nail plate and restores normal dimensions of the nail apparatus. Two clinical cases are reported. This technique should be reserved for reconstruction of stage I and II distal digital amputations.
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