A very simple and cheap technique to improve the accuracy of designing cross-finger flaps is described.
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Introduction: Hand injuries, particularly those involving the fingers, are complex and often necessitate meticulous surgical interventions. Cross-finger flaps (CFFs) are a reliable technique for covering finger defects, with the choice of skin graft at the donor site playing a crucial role in the procedure's success. Split-thickness skin grafts (STSGs) and full-thickness skin grafts (FTSGs) are commonly used, each offering distinct advantages and drawbacks.
View Article and Find Full Text PDFEvaluation of electrophotobiomodulation as a recent tool in the armamentarium of treatment of fingertip injuries.
BMC Surg
October 2024
Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.
Background: Traditional reconstructive options of fingertip injuries are technically difficult, usually need donor site skin grafting, leave visible scars, and need a protracted period of finger immobilization resulting in joint stiffness. Electro-photobiomodulation (EPBM), is the process of combining intense pulsed light and radiofrequency to modify tissues to help the body heal itself, lower inflammation, and promote wound healing.
Patients And Methods: This study included 60 patients presented with fingertip injuries.
Basal Cell Carcinoma of the 2nd Digit Treated With the Reverse Cross-Finger Flap: A Case Report.
Cureus
July 2024
Division of Hand and Upper Extremity Surgery, University of Florida, Gainesville, USA.
Basal cell carcinoma (BCC) is the most common form of skin cancer but rarely presents on the finger with few cases described in the literature. We present the case of a 77-year-old female with a nine-month history of biopsy-proven BCC on the dorsal aspect of her left index finger. Following the complete surgical excision of the tumor, a two-stage reverse cross-finger flap was performed, resulting in minimal impact on mobility and aesthetics and prompting a discussion on the efficacy of this approach in treating BCC of the hand.
View Article and Find Full Text PDF[Long-Term Outcome of Digital Defect Reconstruction using Cross-Finger Flaps].
Handchir Mikrochir Plast Chir
December 2024
Plastische- und Handchirurgische Klinik, Universitätsklinikum Erlangen, Erlangen, Germany.
Article Synopsis
- Cross-finger flaps are a valuable technique in finger reconstruction, particularly for repairing palmar digital and fingertip defects, although long-term results are understudied.
- A study involving 35 patients showed no significant difference in range of motion (ROM) between the reconstructed and donor fingers compared to the uninjured hand, but there was a noticeable difference in sensory function.
- Patients reported high satisfaction levels for both functionality (average score of 8.1/10) and aesthetics (average score of 7.7/10), with some experiencing persistent pain during stress on the reconstructed finger but no pain at rest.
Monodigital Double Cross-Finger Flaps-A Novel Approach for Coverage of Large Volar Defects.
Ann Plast Surg
July 2024
From the Department of plastic, reconstructive surgery and burns, Mysore Medical College and Research Institute, Mysore, Karnataka, India.
Introduction: A single cross-finger flap can only address digital defects of a limited size, and larger defects often require distant flaps such as abdominal or groin flaps that are cumbersome to perform and sometimes bulky. Two cross-finger flaps harvested from the same donor digit could offer a simple and effective solution for many such defects. In this study, we describe the technique of monodigital double cross-finger flaps and its clinical applicability, with evaluation of donor and recipient site morbidity.
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