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Extended palmar advancement flap with V-Y closure for finger injuries
T Kojima1, Y Kinoshita, Y Hirase
1Department of Plastic and Reconstructive Surgery, Jikei University School of Medicine, Tokyo, Japan.
British Journal of Plastic Surgery
|June 1, 1994
Abstract:
The technique of using volar advancement flaps with V-Y closure to the fingers is described. It is possible to perform volar flap advancements up to 15 mm and use V-Y closures in the distal palm, avoiding a skin graft. This method is based on knowledge of the vascular anatomy of the finger dorsum, to avoid devitalising dorsal skin. This method was applied to 14 fingers of 13 patients including finger amputations, claw nail deformities, and skin defects of the middle phalanx. Favourable results were observed.