Introduction: Traumatic injuries of the hand are an important aspect in the practice of the reconstructive surgeon. The objectives of finger tip reconstruction include the restoration of length, strength, position, stability, mobility, sensitivity and aesthetics of the finger. There are multiple reconstructive options for finger tip reconstruction. The objective of this study is to determine the effectiveness of the Atasoy VY advancement flap as a first line option for the reconstruction of fingertip defects. Methods: The following study is a retrospective, cross-sectional, observational and analytical study. A representative sample of patients presenting a diagnosis of digital tip lesion treated during the period from January 1, 2016 to December 31, 2018 in our plastic and reconstructive surgery service. Results: The finger tip reconstruction through Atasoy VY advancement flap in this study showed an effectiveness of 96.86 percent. In the 138 cases studied, there were only complications in 7 patients. The major complication that occurred was necrosis presenting in 4 flaps, followed by wound dehiscence in 2 flaps and the complication that presented less was the surgical site infection presenting in 3 patients. No patient presented loss of sensitivity. Conclusions: The Atasoy VY advancement flap is a simple and safe technique with greater effectiveness compared to other surgical techniques that achieves reconstructive objectives with advantages over other flaps.
