OPEN IN READ APP
JOURNAL ARTICLE

[V-y flap for restoration of the fingertip]

Isabella Mehling, Martin H Hessmann, Alexander Hofmann, Pol M Rommens
Operative Orthopädie und Traumatologie 2008, 20 (2): 103-10
18535795

OBJECTIVE: Restoration of the fingertip with a neurovascular V-Y flap.

INDICATIONS: Transverse or oblique defects of the fingertip, also with exposed bone of the distal phalanx.

CONTRAINDICATIONS: Larger defects of the phalanx over the proximal interphalangeal joint. Crush injury of the finger. Preexisting lesions of the fingertip. Circulatory disorder. Contamination. Infection of the finger.

SURGICAL TECHNIQUE: A single volar (Tranquilli-Leali, Atasoy) or a bilateral V-Y flap (Geissendörfer, Kutler) is used for restoration of the fingertip. The incision is V-shaped and will be converted to a Y, as the flap is advanced. The subcutaneous tissue of the flap contains neurovascular structures, and provides sensibility and padding of the fingertip. A distal advancement of the flap up to 10 mm is possible with this technique.

POSTOPERATIVE MANAGEMENT: Immobilization in a two-finger splint for 1 week.

RESULTS: Good functional results.

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Available on the App Store

Available on the Play Store
Remove bar
Read by QxMD icon Read
18535795
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"