V-Y flap for restoration of the fingertip

被引：0

作者：

Mehling, Isabella ^{[1
]}

Hessmann, Martin H. ^{[1
]}

Hofmann, Alexander ^{[1
]}

Rommens, Pol M. ^{[1
]}

机构：

[1] Johannes Gutenberg Univ Mainz, Klin & Poliklin Unfallchirurg, D-55101 Mainz, Germany

来源：

OPERATIVE ORTHOPADIE UND TRAUMATOLOGIE | 2008年 / 20卷 / 02期

关键词：

defect of the fingertip; V-Y flap; neurovascular flap; volar V-Y flap (Tranquilli-Leali); lateral V-Y flap (Geissendorfer; Kutler);

D O I：

10.1007/s00064-008-1233-y

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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 ( Geissendorfer, 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.

引用

页码：103 / 110

页数：8