V-Y ADVANCEMENT RECONSTRUCT

A series of 29 patients is presented in which 40 dorsal full-thickness defects of the reconstructed using homodigital flaps advanced distally with V-Y closure of the donor Journal of Hand Surgery (British and European Volume, 1994) 19B: 91-97 were t. There are relatively few techniques described whereby full-thickness skin defects of the dorsum of the digits may be reconstructed without use of a distant donor site for flap cover. We have adapted the transposition flap described by Smith (1982) for use over most of the length of the dorsum of the digits (Fig 1). This modifi-cation achieves skin closure by rearrangement of the remaining dorsal skin of the injured digit, avoiding the use of flap donor sites from adjacent fingers or elsewhere, and closing the donor site without the use of skin graft