ISSN 2458-7834
 

Original Article 


Volar V-Y Advancement Flap Without Suturing of Proximal Part for Reconstruction of Fingertip Amputations

Ömer Ayık, mehmet demirel, Serdar Turgut, Bülent Özçelik.

Abstract
Purpose: This study aimed to assess the results of volar V-Y advancement flap surgery without suturing the proximal part to reconstruct fingertip amputations.
Methods: Between 2018 and 2020, 18 patients (16 males, two females) who underwent volar V-Y advancement flap surgery without suturing the proximal part due to a fingertip amputation were retrospectively identified and included. All the clinical outcomes were obtained at the final follow-up appointment. The total range of motions of injured fingers and the same ones of the contralateral healthy DIP (distal interphalangeal) joint were measured. Fingertip tenderness was measured with Visual Analog Score (VAS). Cold intolerance and two-point discrimination (2PD) were assessed in the flap area.
Results: The mean age was 37 (range = 19–62) years, and the mean follow-up was 15 (range = 12–22) months. The thumb was injured in 5 patients, index finger in 7, long finger in 4, ring finger in 1, and little finger in 1. Partial or total flap necrosis was not encountered in any patient. Range of motion deficit of DIP joint was 17.5 (range = 0–30) % in the operated finger (p = 0.38). The mean VAS for fingertip tenderness was 0.11 (range = 0–1). While no cold intolerance was encountered in 14 patients, it was minimal in 2 patients, mild in 1, and severe in 1. 2PD ratio that was comparatively measured to the contralateral healthy finger was 45% (range = 0–120) (p < 0.034). Sensory function was preserved in all patients.
Conclusion: Volar V-Y advancement flaps without suturation of the proximal part can offer good clinical and aesthetical outcomes, protect the finger contour, and reduce the risk of flap necrosis.

Key words: Volar V-Y advancement flap, fingertip amputations, reconstruction surgery


 
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How to Cite this Article
Pubmed Style

Ayık O, demirel m, Turgut S, Ozcelik B. Volar V-Y Advancement Flap Without Suturing of Proximal Part for Reconstruction of Fingertip Amputations. Hand Microsurg. 2022; 11(2): 75-81. doi:10.5455/handmicrosurg.98166


Web Style

Ayık O, demirel m, Turgut S, Ozcelik B. Volar V-Y Advancement Flap Without Suturing of Proximal Part for Reconstruction of Fingertip Amputations. https://handmicrosurgeryjournal.com/?mno=98166 [Access: September 28, 2022]. doi:10.5455/handmicrosurg.98166


AMA (American Medical Association) Style

Ayık O, demirel m, Turgut S, Ozcelik B. Volar V-Y Advancement Flap Without Suturing of Proximal Part for Reconstruction of Fingertip Amputations. Hand Microsurg. 2022; 11(2): 75-81. doi:10.5455/handmicrosurg.98166



Vancouver/ICMJE Style

Ayık O, demirel m, Turgut S, Ozcelik B. Volar V-Y Advancement Flap Without Suturing of Proximal Part for Reconstruction of Fingertip Amputations. Hand Microsurg. (2022), [cited September 28, 2022]; 11(2): 75-81. doi:10.5455/handmicrosurg.98166



Harvard Style

Ayık, O., demirel, . m., Turgut, . S. & Ozcelik, . B. (2022) Volar V-Y Advancement Flap Without Suturing of Proximal Part for Reconstruction of Fingertip Amputations. Hand Microsurg, 11 (2), 75-81. doi:10.5455/handmicrosurg.98166



Turabian Style

Ayık, Omer, mehmet demirel, Serdar Turgut, and Bulent Ozcelik. 2022. Volar V-Y Advancement Flap Without Suturing of Proximal Part for Reconstruction of Fingertip Amputations. Hand and Microsurgery, 11 (2), 75-81. doi:10.5455/handmicrosurg.98166



Chicago Style

Ayık, Omer, mehmet demirel, Serdar Turgut, and Bulent Ozcelik. "Volar V-Y Advancement Flap Without Suturing of Proximal Part for Reconstruction of Fingertip Amputations." Hand and Microsurgery 11 (2022), 75-81. doi:10.5455/handmicrosurg.98166



MLA (The Modern Language Association) Style

Ayık, Omer, mehmet demirel, Serdar Turgut, and Bulent Ozcelik. "Volar V-Y Advancement Flap Without Suturing of Proximal Part for Reconstruction of Fingertip Amputations." Hand and Microsurgery 11.2 (2022), 75-81. Print. doi:10.5455/handmicrosurg.98166



APA (American Psychological Association) Style

Ayık, O., demirel, . m., Turgut, . S. & Ozcelik, . B. (2022) Volar V-Y Advancement Flap Without Suturing of Proximal Part for Reconstruction of Fingertip Amputations. Hand and Microsurgery, 11 (2), 75-81. doi:10.5455/handmicrosurg.98166





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