V-Y flap as a therapeutic option for fingertip reconstruction. A case report

Background

Fingertip injuries are the most frequent hand trauma and constitute the main cause of care in the emergency department of medical units. These injuries can influence a person's daily activities and affect their quality of life if they´re not properly treated. It is necessary to have extensive knowledge of the anatomy of this region, as it is essential to implement an appropriate and individualized therapeutic management for each type of wound. Undoubtedly, due to its multiple advantages, the V-Y advancement flap continues to be the most widely used treatment for fingertip injuries. This surgical technique is very successful, it reduces functional and esthetic complications, as well as morbidity in the donor area. Therefore, this flap preserves the sensitivity, length and function of the finger, avoiding remodeling of the stump. In addition, is very efficient in any of the fingers of the hand, providing skin with the same characteristics to those of the pulp. We present the case of a male patient who suffers an amputation of his right third finger, exposing our therapeutic management, as well as the demonstration of its evolution through the days.

Keywords: hand trauma; fingertip injury; reconstruction; flap; V-Y advancement flap.