EVALUTION OF BILATERAL V-Y ROTATION ADVANCEMENT FLAPS FOR TREATMENT OF FINGERTIP AMPUTATION
AbstractEVALUTION OF BILATERAL V-Y ROTATION ADVANCEMENT FLAPS FOR TREATMENT OF FINGERTIP AMPUTATION Jabir Raheem Hameed* and Roaa Hamed Mahmood@*MB, ChB, FICMS, Consultant Plastic and Reconstructive Surgeon, Al-Sadr Teaching Hospital, Basrah. @MB, ChB, Candidate of CABHS, Plastic and Reconstructive Surgery, Al-Sadr Teaching Hospital, Basrah, IRAQ. Abstract Fingertip amputation is the most common injury of the upper limb. The goals of treating it are; covering the defect, achieve sensibility, preserving the length of the finger by using durable coverage, obtaining the satisfactory aesthetic appearance and allow the patient for faster return to work. This study aimed to evaluate the use of bilateral V-Y rotation advancement flaps for the management of fingertip amputations with exposed bones and to assess the functional and aesthetic outcome. Between January 2017 and August 2018, bilateral V-Y rotation advancement flaps was performed on eleven male patients, average age 32 years, whose fingertip amputation with variable planes and zones. Patients were followed-up for at least 6-12 months. Twenty two flaps were made on 11 fingers, there was no partial or total flap loss. Patients had neither cold intolerance nor scar hypersensitivity, no obvious hook nail deformity apart of one patient. Because flap have neurovascular bundle inside it, so no change in sensation or perfusion occur postoperatively. In conclusion, the V-Y rotation advancement flap is simple, single stage operation that is optimum for surgical reconstruction of any fingertip injury. It provides a good contour, finger pulp coverage and acceptable appearance. Keywords: Fingertip. Amputation, Pulpa, V-Y flap, Reconstruction.
1. Steven L. Moran, William P. Cooney, III. Master techniques in orthopedic surgery : soft tissue surgery, 1st ed., Wolters Kluwer, Lippincott Williams and Wilkins, Philadelphia, 2009; pp. 246-247. 2. Achilleas thoma, Larisa Kristine Vartija. Making the V-Y advancement flap safer in fingertip amputation, Can J plast surg, 2010; 18(4):e47-e49. 3. Charles H. Thorane. Grabb and smith’s plastic surgery, 5th. Ed., Lippincott- Raven, Philadelphia,1997;pp. 835. 4. Nezih sunger, yuksel kankaya, kaya yildiz. Bilateral V-Y rotation advancement flap for fingertip amputation, HAND, 2012;7:79-85. 5. Leo M.Rozmaryn. fingertip injuries: Diagnosis, Management and reconstruction, 1st ed., springer, New York,2015;pp.6-83-101. 6. Edward A. Jackson. The V-Y plasty in the treatment of fingertip amputation, American family physician, 2001;64(3):455-458. 7. Jeffrey E. Janis. Essential of plastic surgery, 2nd ed., CRC press, New York, 2014 ; pp. 812. 8. Scott w. wolfe, Robert N. Hotchkiss, William C. Pedrerson, Scott H. Kozin. Green’s operative hand surgery, Sixth ed., Elsevier, philadilphia, 2011;pp. 1888. 9. Joseph G. McCarthy, Robert D. Galiano, Sean G. Boutros. Current therapy in plastic surgery, 1st ed., Saunders Elsevier, Philadelphia, 2006 ; pp.556. 10. Scott W. Wolfe, Robert N. Hotchkiss, William C. Pedrson, Scott H. Kozin, Mark S. Cohen. Green’s operative hand surgery, seventh ed., Elservier, Philadelphia, 2017; pp. 1717-1713. 11. Terri M. Skirven , A. Lee Osterman, Jane M. Fedorczyk, Peter C. Amadio. Rehabilitation of the hand and upper extremity, Sixth ed. , Elsevier Mosby, philadelphia, 2011; pp. 259. 12. Ross D. Farhadieh, Neil W. Bulstrode, Sabrina Cuguo. Plastic and reconstructive surgery: Approaches and technique, 1st ed., Wiley Black well, UK, 2015; PP. 688. 13. Yeo C J, Sebastian S J,Chong A K S. Fingertip injuries , Singapore Med J, 2015;52(1):78-86. 14. Mahdi H Abood, Amer S Daood. A comparative study of the supraperiosteal and the subperiosteal dissection in the V-Y advancement (Atasoy) flap for the management of fingertip injury: Basrah Journal of Surgery, 2007;13(1):1-11.
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