title: Extended palmar advancement flap with V-Y closure for finger injuries.
abstract: The technique of using volar advancement flaps with V-Y closure to the fingers is described. It is possible to perform volar flap advancements up to 15 mm and use V-Y closures in the distal palm, avoiding a skin graft. This method is based on knowledge of the vascular anatomy of the finger dorsum, to avoid devitalising dorsal skin. This method was applied to 14 fingers of 13 patients including finger amputations, claw nail deformities, and skin defects of the middle phalanx. Favourable results were observed.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Jikei University School of Medicine, Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kojima
authors.forename: Y
authors.initials: Y
authors.lastname: Kinoshita
authors.forename: Y
authors.initials: Y
authors.lastname: Hirase
authors.forename: T
authors.initials: T
authors.lastname: Endo
authors.forename: H
authors.initials: H
authors.lastname: Hayashi
mesh_terms: D000293:Adolescent; D000328:Adult; D000672:Amputation Stumps / Q000601:surgery; D000673:Amputation, Traumatic / Q000473:pathology / Q000601:surgery; D005260:Female; D005383:Finger Injuries / Q000473:pathology / Q000601:surgery*; D005385:Fingers / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009264:Nails, Malformed / Q000473:pathology / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods*