Making the V-Y advancement flap safer in fingertip amputations |
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| Authors: | Achilleas Thoma Larisa Kristine Vartija |
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| Institution: | 1 Department of Clinical Epidemiology and Biostatistics, McMaster University;;2 Department of Surgery, Division of Plastic and Reconstructive Surgery, St Joseph’s Healthcare;;3 Surgical Outcomes Research Centre;;4 Department of Medicine, McMaster University, Hamilton, Ontario |
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| Abstract: | Amputation of the fingertip is a common injury of the upper extremity. Over the years, a variety of reconstructive techniques have been described. For dorsal oblique and transverse amputations, the Atasoy V-Y advancement flap is a popular choice because it preserves finger length, sensation and function. However, closure under tension remains a problem, putting the flap at risk of partial or full necrosis. To avoid this untoward complication, the classic V-Y advancement technique has been modified to allow for a tension-free closure. |
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| Keywords: | Atasoy flap Fingertip injuries V-Y flap |
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