Volume : IX, Issue : III, March - 2019

Versatility,Variability & Valuability of Cross Finger Flaps In Hand Injuries

Prof. Dr. V. Ramadevi

Abstract :

Introduction: In the era of advancing microsurgery,though various flaps are being innovated the time tested cross finger flap still becomes the saviour in many injuries of the fingers.Be it of any location in the finger or any etiology of tissue loss cross finger flap can be planned in any way to provide a pliable soft tissue cover with less donor site morbidity. Materials and Methods: Review of 121 patients who had undergone Cross Finger Flap surgeries in our Institute from September 2015 to April 2017 due to trauma,infection,scar contractures Discussion: Cross finger flaps can be conventional or modified based on the site of the defects. It can be ulnar/radial based,distally/proximally based,extended across a joint and can be applied for any fingers and the thumb too . The reliable vascular plexus and the pliability of skin in the dorsum make it one of the ideal choice in the area with paucity of local flaps. Apart from the routine injuries for which cross finger flaps are used,we have extended its application for ring avulsion injuries for whom replantation is not possible and patient is not willing for a distant flap. The final outcome is as good as any other flap and the donor site morbidity is very less and acceptable with recovery of two point discriminination after 8–12 months. Conclusion: Cross Finger Flaps are reliable and robust provided they are planned and performed meticulously. It provides stable cover and almost abates hospital stay and comes handy for young plastic surgeons who are yet to master microsurgical skills. We even came across a patient who presented to us 11 months later for division of the flap!!which shows the versatality of the flap. It is true that the Cross finger flap is a Versatile,Variable & Valuable flap in Hand Injuries

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

VERSATILITY,VARIABILITY & VALUABILITY OF CROSS FINGER FLAPS IN HAND INJURIES, Prof. Dr.V. Ramadevi INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-3 | March-2019

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