PATIENTS

The use of a V-Y advancement flap for reconstruction of a volar/lateral soft tissue defect in a digit involving segmental loss of the neurovascular bundle of up to 10 mm at middle phalangeal level is described. This flap allows immediate reconstruction with primary repair of the nerve and gives good functional results. Two cases are presented. Journal of Hand Surgery (British and European Volume, 1995) 20B: 4:532-534 Injury to the fingers involving loss of the soft tissues down to tendon and bone is a common presentation. Frequently, such soft issue loss includes a segment of one of the digital neurovascular bundles, with a gap in the nerve which is too large to allow primary nerve repair without tension. We present wo cases in which this problem was overcome by the utilization of a homodigital V-Y advancement flap incorporating the neurovascular bundle