However rather than suturing the flap distally 2 22 gauge hypodermic needles were used to tack the flap down to prevent flap necrosis and hook nail deformity. The boxy appearance seen intra operatively will soften smooth out and re contour with time and gentle massage.
Reconstruction of the amputated finger tip with a triangular volar flap.
Vy flap finger. Vy advancement flap for finger tip defect duration. An operation is described that is based on anatomical studies showing the pattern of the fibrous septa and neurovascular bundles of the distal phalanx. Atasoy or tranquilli leali or v y flap for the fingertip reconstruction.
A simple solution is to do a v y advancement flap which maintains remaining length and gives a tapering. Previously this flap was also commonly referred to as the island pedicle flap due to its two main requirements. Transverse amputation of left ring finger with bone exposure.
Volar view of v y advancement flap already inset into ring finger defect. Weston pa wallace wa. J bone joint surg am 1970 52 921 6.
Lateral v y advancement flaps are outlined with the dorsal incisions going sharply to the bone. The use of lateral v y advancement flaps for fingertip reconstruction. A new surgical proce dure.
1 the separation of epidermal and dermal connections of the flap resulting in an island of skin and 2 the preservation of a subcutaneous pedicle consisting of subcutaneous fat muscle and occasionally superficial musculoaponeurotic system which provides the flap. At first glance the performance of pedicle flaps may seem daunting but a simple v y plasty pedicle flap easily can be advanced to cover the defect left by fingertip injury. The flap took completely and the patient recovered full active and passive range of motion of the.
The use of locally based. We are presenting a case in which a vy advancement flap was used for soft tissue coverage of a traumatic partial fingertip amputation. V y advancement flap drawn out on volar surface of ring finger.
Dorsal view of ring finger amputation. 4 6 10 the v y. Hand trauma easy surgery.