Inverted-U incision for exploration of the distal phalanx

A representation of a modified inverted-U incision over the dorsal aspect of the distal phalanx is presented. The incision consists of a curved, proximally based U-shaped flap and provides direct exposure of the extensor terminal tendon and distal joint articulation. Since the flap is proximally based, there is no danger of vascular compromise. It gives an excellent exposure without having to struggle with retractors, and it can be performed without the aid of an assistant. In our series, there has not been a single incident of complication, and the favorable appearance after healing makes this incision one of our favorites.