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Bilateral V-Y rotation advancement flap for fingertip amputations
Nezih Sungur1, Yüksel Kankaya, Kaya Yıldız
11st Plastic, Reconstructive and Aesthetic Surgery Clinic, Ankara Training and Research Hospital, Plevne Cad., Altindag, Ankara, Turkey.
Hand (New York, N.Y.)
|March 2, 2013
Summary
The V-Y rotation advancement flap is a reliable method for fingertip reconstruction, successfully covering defects while preserving finger length and function. This technique ensures good tactile sensation and cosmetic results for patients with replantation-ineligible fingertip amputations.
Area of Science:
- Reconstructive surgery
- Hand surgery
- Microsurgery
Background:
- Fingertip amputation is the most common upper limb injury.
- Reconstruction aims to restore function, sensation, length, and aesthetics.
- Local homodigital flaps may not provide sufficient tissue for fingertip defects.
Purpose of the Study:
- To evaluate the efficacy of the bilateral V-Y rotation advancement flap for fingertip amputations.
- To determine if this method meets all reconstruction goals for fingertip injuries.
Main Methods:
- Bilateral V-Y rotation advancement flaps were performed on seven male patients (average age 37.6 years) between 2007 and 2009.
- The study involved 14 flaps on 7 non-replantable fingertips.
- The V-Y rotation advancement flap combines rotation and advancement for increased mobility.
Main Results:
- No total or partial flap loss occurred.
- Patients experienced no cold intolerance or scar hypersensitivity.
- Preserved sensation and perfusion, with no PIP joint stiffness or hooked nail deformities. Satisfactory painless pinching was achieved.
Conclusions:
- The V-Y rotation advancement flap is a quick, reliable, and aesthetic option for fingertip reconstruction.
- This versatile method effectively addresses various fingertip amputation scenarios.
- The flap successfully meets all primary goals of fingertip reconstruction.
