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Double V-Y Flap to Cover the Fingertip Injury

New Technique and Cases

Díaz, Luis C. MD; Vergara-Amador, Enrique MD; Fuentes Losada, Lina M. MD

Techniques in Hand & Upper Extremity Surgery: December 2016 - Volume 20 - Issue 4 - p 133–136
doi: 10.1097/BTH.0000000000000132
Techniques
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The volar V-Y flap is used in transverse or dorsal oblique amputations in fingertip injuries; however, its use is contraindicated in patients with volar oblique amputations and cannot advance distally enough to cover the defect. The aim of this report is to describe a technique of double V-Y flap to cover fingertip defects in which a simple V-Y flap is not enough. This technique allows advancement between 30% and 50% farther than the original, simple V-Y flap. Report of cases a series of fingertip amputation covered with this technique. This technique was performed in 7 patients between 25 and 64 years old, with transverse, volar and dorsal oblique defects in the fingertip. The advancing of the flap was between 3 and 5 mm. There were no infections or necrosis of the flaps. In all patients there were acceptable aesthetic results with 2-point discrimination between 4 and 6 mm in the proximal flap and up to 10 mm in the distal flap with a minimum follow-up of 6 months. With this double V-Y flap, we have seen a good coverage even in volar oblique amputation. In addition, it is possible to advance up to 5 mm more with this second V-Y flap without compromising the vitality of the flap. It is a simple and reproducible technique that can be used on any finger, with good results, without flap necrosis.

*Asotrauma Clinic, Ibagué

Orthopedics and Traumatology Unit, Faculty of Medicine, National University of Colombia, Bogotá, Colombia

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Enrique Vergara-Amador, MD, Unidad de Ortopedia, Facultad de Medicina, Universidad Nacional de Colombia, Ciudad Universitaria, Bogotá 11001000, Colombia. E-mail: enriquevergaramd@gmail.com.

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