Salvaging the Digit in Invasive Subungual Malignancies Using a Triple Technique under Awake Local Anesthesia

Figure 4

Intraoperative image showing V-Y plasty coverage of the defect. Intraoperative image showing (a) excision of the nail bed including both the periosteum and the eponychium up to the base of the nail fold. (b, c) A surprising degree of V-Y flap advancement resulting in coverage of the defect.

(a)

(b)

(c)