[V-y flap for restoration of the fingertip].

OBJECTIVE: Restoration of the fingertip with a neurovascular V-Y flap. INDICATIONS: Transverse or oblique defects of the fingertip, also with exposed bone of the distal phalanx. CONTRAINDICATIONS: Larger defects of the phalanx over the proximal interphalangeal joint. Crush injury of the finger. Preexisting lesions of the fingertip. Circulatory disorder. Contamination. Infection of the finger. SURGICAL TECHNIQUE: A single volar (Tranquilli-Leali, Atasoy) or a bilateral V-Y flap (Geissendörfer, Kutler) is used for restoration of the fingertip. The incision is V-shaped and will be converted to a Y, as the flap is advanced. The subcutaneous tissue of the flap contains neurovascular structures, and provides sensibility and padding of the fingertip. A distal advancement of the flap up to 10 mm is possible with this technique. POSTOPERATIVE MANAGEMENT: Immobilization in a two-finger splint for 1 week.
RESULTS: Good functional results.