[Cover plasties of distal finger amputations. Focus on techniques and indications].
Distal finger amputations could be responsible for prolonged time off work and disability. Although delayed healing is the simplest method, a deep defect with exposed skeleton or tendon is an indication for a flap to provide cover with good padding and discrimination. Local flaps are the first choice and selection is based on a number of parameters, the most important of which is the real possibility of advancement. Although V-Y flaps are sufficient to cover a guillotine amputation, a very large defect requires more sophisticated techniques like such as two-pedicle or single-pedicled island flaps.
Foucher
G
G
Service SOS Main, Strasbourg, France.
Pajardi
G
G
D000673:Amputation, Traumatic / Q000601:surgery*; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D013524:Surgical Flaps / Q000379:methods
Les plasties de couverture des amputations digitales distales. Mise au point des techniques et indications.