[V-y flap for restoration of the fingertip].
OBJECTIVE
Restoration of the fingertip with a neurovascular V-Y flap.


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


METHODS
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.


METHODS
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.


METHODS
Immobilization in a two-finger splint for 1 week.


RESULTS
Good functional results.
Klinik und Poliklinik für Unfallchirurgie, Johannes Gutenberg-Universität Mainz, Langenbeckstrasse 1, 55101 Mainz. mehling@unfall.klinik.uni-mainz.de
Isabella
I
Mehling
Martin H
MH
Hessmann
Alexander
A
Hofmann
Pol M
PM
Rommens
D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D009262:Nails / Q000293:injuries / Q000601:surgery; D011182:Postoperative Care; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply / Q000294:innervation*; D013536:Suture Techniques; D020858:Tissue and Organ Harvesting / Q000379:methods; D014945:Wound Healing / Q000502:physiology