Tumore im Bereich der Hand

Cross‐finger flap as ultima ratio for the reconstruction of defects of the finger flexor sides

“…Especially for smaller defects of the palmar middle phalanx, palmar translational flap plasty according to Hueston or lateral island flap plasty according to Rose may be considered. 1 In the described case, however, these flap plasties were not practical due to the size of the defect. In the final stage, distant flaps, such as the cross-finger flap presented here, are then used.…”

“…In the second stage, skin grafts are used. However, these are only effective if vascular and nerve structures are not damaged and the tendon sheaths are intact 1 . In the reconstruction of palmar finger defects, full‐thickness skin grafts should be used if possible, since they have a higher mechanical resilience 2 .…”

“…Whereas cutaneous tumors, especially squamous cell carcinomas, occur more frequently on the dorsum of the hand and extensor sides of the fingers, they manifest themselves more rarely on the palms or on the flexor side of the fingers. 1 The primary goal of all operations on the hand, our most important working organ and sensorimotor tactile tool, is, in addition to the complete removal of tumors, the preservation of gripping function and the avoidance of contractures. The anatomically limited skin reservoir of the hand and especially of the fingers places high demands on the reconstruction of larger defects.…”

Cross‐Finger‐Flap als Ultima Ratio zur Defektrekonstruktion an den Fingerbeugeseiten

“…In der zweiten Stufe kommen Hauttransplantationen zur Anwendung. Diese sind jedoch nur zielführend, wenn Gefäß‐Nerven‐Strukturen nicht verletzt und die Sehnenscheiden intakt sind 1 . Bei der Rekonstruktion palmarer Fingerdefekte sollten dabei möglichst Vollhauttransplantate verwendet werden, da diese über eine höhere mechanische Belastbarkeit verfügen 2 .…”

“…Die dritte Stufe beinhaltet lokale Lappenplastiken. Speziell bei kleineren Defekten des palmaren Mittelgliedes kommen zum Beispiel die palmare Translationslappenplastik nach Hueston oder die laterale Insellappenplastik nach Rose in Betracht 1 . Im vorgestellten Fall waren diese Lappenplastiken jedoch aufgrund der Defektgröße nicht praktikabel.…”