Biomaterial Database

The use of lateral V-Y advancement flaps for fingertip reconstruction. 1983

G H Shepard

An operation is described that is based on anatomical studies showing the pattern of the fibrous septa and neurovascular bundles of the distal phalanx. Lateral V-Y advancement flaps are outlined with the dorsal incisions going sharply to the bone. With palmar retraction of each flap, dense fibrous bands on its underside are sharply divided. The palmar incision is made through skin only. The nerves, vessels, and adipose tissue of this pedicle are preserved while the fibrous septa are carefully divided. This technique permits 10 to 14 mm advancement of each flap. Complete division of the dorsal pedicle permits great mobility of the flap without functionally diminishing circulation or innervation. This procedure is particularly useful in traumatic fingertip amputations with the palmar and transverse oblique deformities. Elective remodeling of irregular fingertips has also been aided by this operation.

UI	MeSH Term	Description	Entries
D008722	Methods	A series of steps taken in order to conduct research.	Techniques,Methodological Studies,Methodological Study,Procedures,Studies, Methodological,Study, Methodological,Method,Procedure,Technique
D005383	Finger Injuries	General or unspecified injuries involving the fingers.	Injuries, Finger,Finger Injury,Injury, Finger
D005385	Fingers	Four or five slender jointed digits in humans and primates, attached to each HAND.	Finger
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000673	Amputation, Traumatic	Loss of a limb or other bodily appendage by accidental injury.	Amputations, Traumatic,Traumatic Amputation,Traumatic Amputations
D013524	Surgical Flaps	Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.	Island Flap,Island Flaps,Flap, Surgical,Flaps, Surgical,Pedicled Flap,Surgical Flap,Flap, Island,Flap, Pedicled,Flaps, Island,Flaps, Pedicled,Pedicled Flaps

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