Cross-finger flap for reconstruction of fingertip amputations: Long-term results

Abstract

IV.

A Comparative Study of Cross-Finger Flap Versus Split-Thickness Skin Graft for Resurfacing of Soft Tissue Loss in Fingertip Injury

“…advancement flap [6,7&8] and cross-finger flap [9,10,11,12,13,14,15,16,17] and homodigital neurovascular flap. [18] In consultation with patient, every surgeon must choose the type of coverage that appears to be most appropriate for that individual's need.…”

Reverse digital artery cross-finger flap for reconstruction of failed finger replantation

“…Rabarin et al reported a long-term follow-up of 19.7 years with no pain at the donor site, especially in the fingertip, and no neuralgia, necrosis, or wound abnormality. 21 These results can be further supported in applying the current methods to patients.…”

“…In addition, long-term follow-up of cross-finger flap technique reported very good sensory recovery. 21,22 When two-point discrimination results were compared between the innervated flap and the reverse island flap, the neurovascular island flap was superior at the initial stage, but there was no difference at the end of follow-up. Rabarin et al reported a long-term follow-up of 19.7 years with no pain at the donor site, especially in the fingertip, and no neuralgia, necrosis, or wound abnormality.…”

Weichteildefekte der Hand

“…Zu beachten ist, dass der DMCA-4-Lappen nur in 80 % aller Fälle vorliegt, sodass der DMCA-Lappen keine sichere Option bei Kleinfingerdefekten darstellt [10]. Diese Lappentechnik eignet sich bei palmaren Defektwunden an den Mittel-oder Grundgliedern [2,9]. Als adipofaszialer "reversed" Cross-Finger-Lappen kann er auch bei dorsalen Defekten eingesetzt werden, wobei dann der Hebedefekt mit einem Hauttransplantat versorgt werden muss [8].…”