Comparison between Atasoy-Kleinert V-Y Advancement Flap and Figueiredo Techniques for the Treatment of Transverse and Dorsal Oblique Fingertip Injuries.

Compare the results of the treatment of transverse and dorsal oblique fingertip lesions with Atasoy-Kleinert V-Y advancement flap or Figueiredo Technique (FT).  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.  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 value > 0.05 when comparing all the included variables.  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.