Abstract
Objective Compare the results of the treatment of transverse and dorsal oblique fingertip lesions
with Atasoy-Kleinert V-Y advancement flap or Figueiredo Technique (FT).
Method A total of 21 patients who suffered acute trauma in any finger with consequent transverse
or oblique fingertip lesions were selected in a public referral hospital in high complexity
trauma. Of these, 10 patients were treated with the Atasoy-Kleinert V-Y advancement
flap technique and 11 with the FT. The aesthetic and functional results were compared
based on four criteria: evolution of infectious process during treatment; capacity
for static and dynamic discrimination between two points; neuroma formation; and aesthetic
and functional evaluation of nail growth.
Results None of the studied groups developed neuroma or infectious process during treatment.
In the general clinical evaluation, it was observed that no variable presented a statistically
significant association, that is, both groups presented similar behaviors in the postoperative
period with p value > 0.05 when comparing all the included variables.
Conclusion The present study concluded that the FT is as efficient as the Atasoy-Kleinert V-Y
advancement flap technique, both of which can be used for the treatment of transverse
and dorsal oblique fingertip injuries, two techniques with excellent results for such
lesions.
Keywords finger injuries - microsurgery - surgical flaps
