title: Osteocutaneous VY flap to preserve length in coronal oblique fingertip amputation.
abstract: Radial or ulnar oblique amputations treated by nailbed levelling and local digital flap reconstruction can result in significantly shortened fingertip, narrowed pulp and nail shape distortion. A VY type flap containing bone, sterile matrix, and skin was conceptualised to restore nail and pulp contour for coronal oblique amputations. Technical details and a clinical case are discussed.
authors.affiliation: Hand and Microsurgery Section, Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore 308433, Singapore.
authors.forename: Tun Lin
authors.initials: TL
authors.lastname: Foo
authors.forename: M
authors.initials: M
authors.lastname: Arul
mesh_terms: D000673:Amputation, Traumatic / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D009262:Nails / Q000293:injuries / Q000601:surgery; D019637:Orthopedic Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D055815:Young Adult