For fingers left shorter volarly after finger-tip amputation, a volar V-Y amputation flap designed with the V-Y portion at the middle phalanx level and using the Snow cupping technique for reconstruction of the pulp and tip has provided good sensation, padding and contour. Hypersensitivity and beaking of the nail have not been problems.
Get full access to this article
View all access options for this article.
References
1.
ATASOY, E, E IOAKIMIDIS, ML KASDAN, JE KUTZ, and HE KLEINERT (1970). Reconstruction of the Amputated Finger Tip with a Triangular Volar Flap. The Journal of Bone and Joint Surgery, 52A, 921-926.
2.
BIDDULPH, SL (1979). The Neurovascular Flap in Finger Tip Injuries. The Hand, 11, 59-63.
3.
FLINT, MH (1955). Some Observations on the Vascular Supply of the Nail Bed and Terminal Segments of the Fingers. British Journal of Plastic Surgery, 8, 186-195.
4.
KUTLER, W (1947). A New Method for Fingertip Amputation. Journal of the American Medical Association, 133, 29-30.
5.
MACHT, SD, and HK WATSON (1980). The Moberg volar advancement flap for digital reconstruction. The Journal of Hand Surgery, 5, 372-376.
6.
MOBERG, E (1964). Aspects of Sensation in Reconstructive Surgery of the Upper Extremity. The Journal of Bone and Joint Surgery, 46-A, 817-825.
7.
SHAW, MH (1971). Neurovascular Island Pedicled Flaps for Terminal Digital Scars — A Hazard. British Journal of Plastic Surgery, 24, 161-165.
8.
SHEPARD, GH (1983). The use of lateral V-Y advancement flaps for finger-tip reconstruction. The Journal of Hand Surgery, 8, 254-259.
9.
SNOW, JW (1967). The Use of a Volar Hap for Repair of Finger—tip Amputations: A Preliminary Report. Plastic and Reconstructive Surgery, 40, 163-168.
10.
VENKATASWAMI, R, and N SUBRAMANIAN (1980). Oblique Triangular Flap: A New Method of Repair for Oblique Amputations of the Fingertip and Thumb. Plastic and Reconstructive Surgery, 66, 296-300.