ABSTRACT
The bilateral triangular advancement flap, also called the Kutler flap, was clas sically used for the transverse, or volar-oblique finger tip amputation with exposed bone. It is now rarely employed because (1) only about 3-4 mm advancement is obtained, (2) often it creates an insensate fingertip, and (3) it can create a sensitive sagittal scar at the finger tip.
