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Modified cup flap for volar oblique fingertip amputations

By A. Ahmadli, C. Demiroglu, G. Ahmadli, O. Kilic and Peter M. Vogt

Abstract

We describe a modified volar “V-Y cup” flap for volar fingertip defects that do not exceed more than half of the distal phalanx for better aesthetic and functional outcome. In seven cases out of eight, the flap was elevated with a subdermal pedicle, whereas in one case, the flap was elevated as an island on the bilateral neurovascular bundle. The fingertips have been evaluated for sensibility using standard tests, hook nail deformity and patient satisfaction. Seven flaps have survived completely. The flap with skeletonized bilateral digital neurovascular bundle has shown signs of venous insufficiency on the 5 postoperative day with consecutive necrosis. Suturing the distal edges of the flap in a “cupping” fashion provided a normal pulp contour. The modified flap can be used for defects as mentioned above. Subdermally dissected pedicle-based flap is safe and easy to elevate. The aesthetic and functional outcomes have been reported to be satisfactory

Topics: fingertip amputations, volar oblique fingertip amputations, volar V-Y cup flap, volar injuries, occlusive dressing, Surgery, RD1-811
Publisher: German Medical Science GMS Publishing House
Year: 2016
DOI identifier: 10.3205/gpras000037
OAI identifier: oai:doaj.org/article:e1392048840047d78ec49f8ca471c0d4
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