An Innervated Cross-Finger Flap for Fingertip Reconstruction

Cronin, Ernest D.; Cohen, Benjamin E.

doi:10.1097/00006534-198311000-00020

Cited by 113 publications

(38 citation statements)

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“…However, there is a consensus that replantation is the best choice by maintaining the length of the finger and the normal anatomy of the nail complex, if only the amputated fragment is available, in replantable condition and well preserved [34,42]. If replantation is not possible, reconstruction ladder could be used for fingertip injuries: secondary healing, primary closure, skin grafting, homodigital flaps (V-Y advancement [4], V-Y cup [41], dorsal visor [20], Kutler [25], Moberg [35], hatchet [4], Hueston [10], linguiform rotation [12], dorsal adipofascial flaps [26,28,40], cross-finger flap [20,25], island flaps (homodigital [5,7,13,29,38], heterodigital [30] and metacarpal [19]) (antegrade and retrograde [38]), digital artery perforator flaps [23], distant flaps (thenar flap [10], groin and abdominal), free flap (free toe pulp [9,22,31], venous [33,39] and medial plantar perforator [17,42]). …”

Section: Discussionmentioning

confidence: 99%

“…Secondary healing is ideal for non-bone-exposed, clean wounds smaller than 1-1.5 cm 2 in adult patients [7,29]. However, secondary healing is vulnerable to infection and it discourages patients by frequent and painful dressing changes.…”

Section: Discussionmentioning

confidence: 99%

“…Additional major disadvantages are scarring and pulp's soft tissue loss [36]. In conclusion, this method might have satisfactory results, but they are often inferior to other reconstruction techniques [7]. Primary closure in fingertip injuries is possible only in lacerations and blunt crushes.…”

Section: Discussionmentioning

confidence: 99%

“…Flaps are classified mainly into homodigital flaps [4,10,12,17,20,25,33,39,42], heterodigital flaps (cross-finger flap [7,29]), distant flaps [10], island flaps (homodigital [1,5,13,38,44], heterodigital [30] and metacarpal [19]), perforator flaps [23] and free flaps [9,21,24,27,45].…”

Section: Introductionmentioning

confidence: 99%

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Bilateral V–Y Rotation Advancement Flap for Fingertip Amputations

Sungur¹,

Kankaya²,

Yıldız

et al. 2012

Hand (New York, N,Y.)

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Background Fingertip amputation is the most common type of injury in the upper limb. Goals in fingertip amputation reconstruction are covering the defect, establishing maximum tactile gnosis, keeping the length of the finger, protecting the joint function, acquiring a well-padded pulp tissue, providing a bed for growing nail, obtaining a satisfactory cosmetic appearance and allowing the patient to return to work as soon as possible. Adjacent skin and soft tissue are the best covers for fingertip injuries. However, local homodigital flaps lack enough tissue to cover the defect. To solve this problem, we used V-Y rotation advancement flap bilaterally in fingertip amputations which meets all the reconstruction goals. Rotation besides advancement makes this flap more mobile and easier to cover larger defects in all amputation planes. Methods Between 2007 and 2009, we performed bilateral V-Y rotation advancement flap on seven male patients' pulpa (average age, 37.6 years) whose fingertips were not replantable.Results Fourteen flaps were made on 7 fingers. There was neither total nor partial flap loss. Patients had neither cold intolerance nor scar hypersensitivity. Stiffness of the PIP joint did not occur. No obvious hooked nail occurred in patients who have remaining nail matrix. Because flaps contain neurovascular bundle, there was no difference in sensation and perfusion between the finger's pre-operative and post-operative status. The result was satisfactory with painless pinching. Conclusion In addition to the various and versatile fingertip reconstruction methods, we want to present V-Y rotation advancement flap as a quick, reliable and aesthetic method.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bilateral V–Y Rotation Advancement Flap for Fingertip Amputations

Sungur¹,

Kankaya²,

Yıldız

et al. 2012

Hand (New York, N,Y.)

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“…The most popular flap in this series was the cross finger 22 flap, eight (10.96%) of which was used to repair defects on the digits. The parascapular 23 flap was used to repair six (8.22%) defects from axillary contractures; (Figures 3a, 3b), the square 24 flap was used to repair cubital fossa defects in three (4.11%) cases.…”

Section: Surgical Proceduresmentioning

confidence: 99%