The hinged digit flap with dual W-plasties.
A U-shaped flap, hinged proximally and incised distally, adapts well on digits. When incising over joint skin, dual-running W-plasties are mandatory to prevent cicatricial bridging and functional compromise. In a series of 18 cases, no untoward difficulties have been noted.
D005096:Exostoses / Q000601:surgery; D005260:Female; D005384:Finger Joint / Q000601:surgery*; D006488:Hemostasis, Surgical; D006801:Humans; D008297:Male; D008722:Methods; D013524:Surgical Flaps; D014033:Toe Joint / Q000601:surgery*