Double V-Y flap for correction of proximal interphalangeal joint flexion contractures

A double V-Y flap made up of skin available at the site is an alternative to grafts or cross-finger flaps for release of proximal interphalangeal joint contractures. After the initial incision, the technique involves loosening of the contracted skin so that perpendicular nutrient microvessels are preserved. Suggested postoperative management includes subcutaneous dorsal Kirschner wires to maintain extension without jeopardizing the vascular supply of the flap and gentle stretching of the skin as soon as the wires are removed. Three cases are presented to illustrate the variety of applications of double V-Y technique.