Reconstruction of the amputated finger tip with a triangular volar flap-a new surgical procedure

Free medial plantar artery perforator flap for finger pulp reconstruction: Report of a series of 10 cases

“…Local flap reconstruction is the best option for correcting the defect. Local flaps such as homodigital and heterodigital flaps [1][2][3] provide a durable skin surface with appropriate texture, but their drawbacks include the need for staged procedures and possible scar contractures. They may also require skin grafting to cover the donor site.…”

Bilateral V–Y Rotation Advancement Flap for Fingertip Amputations

“…However, there is a consensus that replantation is the best choice by maintaining the length of the finger and the normal anatomy of the nail complex, if only the amputated fragment is available, in replantable condition and well preserved [34,42]. If replantation is not possible, reconstruction ladder could be used for fingertip injuries: secondary healing, primary closure, skin grafting, homodigital flaps (V-Y advancement [4], V-Y cup [41], dorsal visor [20], Kutler [25], Moberg [35], hatchet [4], Hueston [10], linguiform rotation [12], dorsal adipofascial flaps [26,28,40], cross-finger flap [20,25], island flaps (homodigital [5,7,13,29,38], heterodigital [30] and metacarpal [19]) (antegrade and retrograde [38]), digital artery perforator flaps [23], distant flaps (thenar flap [10], groin and abdominal), free flap (free toe pulp [9,22,31], venous [33,39] and medial plantar perforator [17,42]). …”

Onychoclavus Due to Subungual Exostosis: Reconstruction of the Resulting Defect by Triple Volar Advancement Flap: Surgical Technique

“…Another al ter na ti ve is the Ata soy-Kle i nert V-Y ad van ce ment flap. 5 Mo bi lity of this flap is li mi ted be ca u se it is vas cu la ri zed from its at tach ments to un derl ying struc tu res. Thus, mo bi li za ti on of this flap in to dor so la te ral de fects and co ap ta ti on of the flap with cut ed ge of na il mat rix are dif fi cult.…”