The unilateral perforator V-Y flap for fingertip reconstruction–a versatile technique

Fingertip amputations are a very common form of injury seen in the emergency departments. Various techniques have been described for the management of these injuries including simple dressings, skin grafts, homodigital, heterodigital and regional flaps and also free flaps. We present our experience with 10 cases of unilateral V-Y flaps raised on a perforator vessel and advanced in a modified fashion to cover the entire tip with a single flap. The technique is quick and easy to perform under loupe magnification, has minimal donor site morbidity and achieves good results in terms of healing, hand function, sensory recovery, appearance and patient satisfaction.