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Updated: Jan 3, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
VY Advancement, Thenar Flap, and Cross-finger Flaps
1Department of Orthopaedic Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore; Department of Hand and Reconstructive Microsurgery, National University Health System, 1E Kent Ridge Road, Level 11, Singapore 119228, Singapore.
Abstract:
The VY advancement, thenar flaps, and cross-finger flaps are workhorse flaps used in reconstruction of fingertip defects. They are reliable and simple to raise without need for microvascular dissection. In addition, they usually provide good results in terms of sensibility and range of motion. This article reviews the history, anatomy, and surgical technique of these flaps with a focus on aesthetic refinements with illustrative cases.
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