Les plasties de couverture des amputations digitales distales. Mise au point des techniques et indications

Distal finger amputations could be responsible for prolonged time off work and disability. Although delayed healing is the simplest method, a deep defect with exposed skeleton or tendon is an indication for a flap to provide cover with good padding and discrimination. Local flaps are the first choice and selection is based on a number of parameters, the most important of which is the real possibility of advancement. Although V-Y flaps are sufficient to cover a guillotine amputation, a very large defect requires more sophisticated techniques like such as two-pedicle or single-pedicled island flaps.