Secondary microsurgical reconstruction of nail problems in musicians.

Abstract

Nail reconstruction in musicians is an interesting and challenging undertaking for the surgeon. The second or third toenail is usually selected as a donor nail for fingernail reconstruction, because the size and shape are generally similar. A partial toe transfer from the great toe is preferred for the thumb. Reconstruction of the guitarist's dominant thumb is a typical indication for this rare procedure. The surgeon must bear in mind, however, that the cosmetic aspects cannot be overlooked in a musician who plays before the public. The surgeon, therefore, has to select the best procedure from the various methods available to provide the best functional and aesthetic result.