Objective The aim of this study is to discuss the operative technique of repairing the defect after incising big nail skin flap. Methods Ten patients had been operated with a big nail skin flap, and the undermined defects were treated with a reverse tibial periosteal flap. Results In all implanted patients, the tibial periosteal flap had good texture, scanty subcutaneous fat, good contour anti-friction, and no complications. Conclusion This method could preserve most functions of the big nail. It is worthy to recommend this operation to transfer the tibial periosteal flap for the repair of the defect after incising the big nail skin flap.
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