EXTENDED PALMAR ADVANCEMENT FLAP WITH V-Y CLOSURE FOR FINGER INJURIES

The technique of using volar advancement flaps with V-Y closure to the fingers is described. It is possible to perform volar flap advancemen ts up to 15 mm and use V-Y closures in the distal palm, avoiding a ski n graft. This method is based on knowledge of the vascular anatomy of the finger dorsum, to avoid devitalising dorsal skin. This method was applied to 14 fingers of 13 patients including finger amputations, cla w nail deformities, and skin defects of the middle phalanx. Favourable results were observed.