The unilateral perforator V-Y flap for fingertip reconstruction–a versatile technique. (March 2020)

• Record Type: Journal Article
• Authors: Appukuttan, A.; Ragoowansi, R.
• Is Part Of: JPRAS open. Volume 23(2020)
• Page Start: 1
• Page End: 7
• Publication Date: 2020-03
• Subjects: V-Y fingertip flap -- Homodigital perforator flap -- Unilateral V-Y perforator flap -- Fingertip reconstruction -- Digital artery perforator flap -- VY perforator flap; Surgery, Plastic -- Great Britain -- Periodicals; 617.9505
• DOI: 10.1016/j.jpra.2019.10.004
• Languages: English
• ISSNs: 2352-5878

Abstract

Abstract: Fingertip amputations are a very common form of injury seen in the emergency departments. Various techniques have been described for the management of these injuries including simple dressings, skin grafts, homodigital, heterodigital and regional flaps and also free flaps. We present our experience with 10 cases of unilateral V-Y flaps raised on a perforator vessel and advanced in a modified fashion to cover the entire tip with a single flap. The technique is quick and easy to perform under loupe magnification, has minimal donor site morbidity and achieves good results in terms of healing, hand function, sensory recovery, appearance and patient satisfaction.