Use of V-Y advancement flap in digital tip reconstruction after human bite: case report
DOI:
https://doi.org/10.18203/2320-6012.ijrms20250727Keywords:
Plastic surgery procedures, Bites, Traumatic amputationAbstract
Described by Tranquilli-Leali in 1935, the V-Y advancement flap is a technique for reconstructing pulp defects. It involves the displacement of a neurovascular advancement flap. Objective were to demonstrate that the V-Y flap is a good treatment option even in complicated cases. We present the case of a 47-year-old man with diabetes who sustained a traumatic injury to the right thumb due to a human bite during a street fight. A V-Y advancement flap technique was performed for digital tip reconstruction. At 14 days postoperatively, complete flap integration was observed. This technique is ideal for addressing dorsal or transverse oblique amputations where digital tip coverage is required. The efficacy, ease, and good postoperative results make this type of surgical approach suitable for digital tip reconstruction, even in the presence of comorbidities and risk factors for infection.
Metrics
References
Renfro KN, Eckhoff MD, Trevizo GAG, Dunn JC. Traumatic Finger Amputations: Epidemiology and Mechanism of Injury, 2010-2019. Hand (NY). 2024;19(2):278-85. DOI: https://doi.org/10.1177/15589447221122826
Kawaiah A, Thakur M, Garg S, Kawasmi SH, Hassan A. Fingertip Injuries and Amputations: A Review of the Literature. Cureus. 2020;12(5):1-6. DOI: https://doi.org/10.7759/cureus.8291
Barbosa F, Márquez C, Barlandas E, Campollo AP, Gutiérrez M, García CE, et al. Epidemiology of Fingertip Injuries at South Central Hospital Petróleos Mexicanos “Pemex” with a Review of the Literature. J Biosci Med. 2023;11:182-95. DOI: https://doi.org/10.4236/jbm.2023.116015
Mehling I, Hessmann MH, Hofmann A, Rommens PM. Colgajo en V-Y para la reconstrucción de defectos del pulpejo. Téc Quirúrgicas En Ortop Traumatol. 2009;18:132-9.
Burillo A, Moreno A, Salas C. Diagnóstico microbiológico de las infecciones de piel y tejidos blandos. Enfermedades Infecc Microbiol Clínica. 2007;25(9):579-86. DOI: https://doi.org/10.1157/13111185
Lim JX, Chung KC. VY Advancement, Thenar Flap, and Cross-finger Flaps. Hand Clin. 2020;36(1):19-32. DOI: https://doi.org/10.1016/j.hcl.2019.08.003
Thoma A, Vartija LK. Making the V-Y advancement flap safer in fingertip amputations. Can J Plast Surg J Can Chir Plast. 2010;18(4):47-9. DOI: https://doi.org/10.1177/229255031001800407
Lemmon JA, Janis JE, Rohrich RJ. Soft-tissue, injuries of the fingertip: Methods of evaluation and, treatment. An algorithmic approach. Plast Reconstr Surg. 2008;122(3):105-17. DOI: https://doi.org/10.1097/PRS.0b013e3181823be0
Appukuttan A, Ragoowansi R. The unilateral perforator V-Y flap for fingertip reconstruction a versatile technique. JPRAS Open. 2020;23:1-7. DOI: https://doi.org/10.1016/j.jpra.2019.10.004
Lohiya GS, Tan-Figueroa L, Lohiya S, Lohiya S. Human bites: bloodborne pathogen risk and postexposure follow-up algorithm. J Natl Med Assoc. 2013;105(1):92-5. DOI: https://doi.org/10.1016/S0027-9684(15)30090-0
Contreras M, Sandoval J, García R, Morales H. Manejo de las mordeduras por mamíferos. Cirugía y Cirujanos. 2016;84(6):525-30. DOI: https://doi.org/10.1016/j.circir.2016.10.002
Patel S, Srivastava S, Singh MR, Singh D. Mechanistic insight into diabetic wounds: Pathogenesis, molecular targets and treatment strategies to pace wound healing. Biomed Pharmacother. 2019;112:1-15. DOI: https://doi.org/10.1016/j.biopha.2019.108615
Weston PAM, Wallace WA. The use of locally based triangular skin flaps for the repair of fingertip injuries. Hand. 1976;8(1):54-8. DOI: https://doi.org/10.1016/0072-968X(76)90061-9
Atasoy E, Ioakamidis E, Kasdan ML, Kutz JE, Kleinert HE. Reconstruction of the amputated fingertip with a triangular volar flap: a new surgical procedure. J Bone Joint Surg Am. 1970;52(5):921-6. DOI: https://doi.org/10.2106/00004623-197052050-00006
Downloads
Published
How to Cite
Issue
Section
