Cross Finger Dorsal Adipofascial Flap-is It a Aesthetically Better Variant?

K, Mohan Kumar; Segu, Smitha S

doi:10.7860/jcdr/2013/5708.3600

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…Local flaps replace tissues ''like-with-like,'' but these flaps are limited to small-sized defects [21][22][23][24]. Various other methods of reconstruction have been used, including homodigital island flaps [1][2][3][4][5][6][7][8][9][10][11][12][13][14][25][26][27][28][29], cross-finger flaps [29][30][31], thenar flaps [32], and toe free flaps [33,34]. However, none has yielded entirely satisfactory results.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Outcomes and Complications of Primary Fingertip Reconstruction Using Reverse-Flow Homodigital Island Flaps

Regmi

Zhang

et al. 2016

Aesth Plast Surg

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Section: Discussionmentioning

confidence: 99%

A Systematic Review of Outcomes and Complications of Primary Fingertip Reconstruction Using Reverse-Flow Homodigital Island Flaps

Regmi

Zhang

et al. 2016

Aesth Plast Surg

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“…4,8,15 Adipofascial cross finger flap (Figure 3) was another modification of CFF of the present study with good outcome on 5 cases and with satisfactory outcome on 2 cases (total 7 out of 40 patients). Kumar and Segu (2013) found that cross-finger adipofascial flap was an aesthetically better flap when they used it on 15 patients with complex defects on finger and needed a flap 17,18 In the present study, folded cross finger flap (Figure 5) was done in 6 (15.0%) patients with a good outcome. Karthikeyan et al performed folded cross finger flap in 10 patients.…”

Section: Discussionmentioning

confidence: 49%

Versatility and modifications of the cross-finger flap in reconstruction of digital soft tissue defect

Ruhul Amin,

Nazrul Hossain Mullah,

Noor-E-Alam

et al. 2024

Int J Res Med Sci

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Background: Hand injuries can cause major functional and cosmetic concerns. The cross-finger flap (CFF) is an effective treatment for complex finger defects. While CFF has typically been employed to treat volar aspect abnormalities, new versions now address a larger variety of digital soft tissue defects. The aim of the study was to evaluate the clinical outcome of various modified techniques of cross-finger flap which are used to reconstruct different soft tissue defect of fingers. Methods: This was a prospective observational study carried out in the department of Burn and Plastic Surgery at Dhaka Medical College Hospital, Dhaka from September 2018 to February 2020. Forty (40) patients who presented with different soft tissue defect of fingers included in this study according to inclusion and exclusion criteria. Results: The study involved predominantly male participants (80%), with a mean age of 31.70±14.28 years. The most common soft tissue defect site was the volar area (47.5%), and various modified cross-finger flap techniques were employed. The majority of patients achieved excellent functional outcomes, with 82.5% classified as good, 12.5% as satisfactory, and 5.0% as poor. Conclusions: The modifications of the cross-finger flap are versatile and useful for different sites of digital injuries with good functional outcome.

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“…The circulatory feature of the skin flap after adipofascial flap elevation is a mixture of the full-thickness skin graft distally and the random pattern skin flap proximally based on its subdermal plexus (Figure 1D). Therefore, the appearance of the donor site covered with this skin flap is very natural compared to that of the conventional cross-finger flap 17) . Although the combination of the AFCF flap and glabrous skin graft is a staged procedure that requires secondary flap division, the authors prefer this technique to other established single-stage methods, such as V-Y advancement and neurovascular island flaps, because this technique restores optimal finger aesthetic and sensation.…”

Section: Discussionmentioning

confidence: 99%

Combination of the Adipofascial Cross-Finger Flap and Glabrous Skin Graft for Fingertip Reconstruction

Imaizumi

Kadota

2022

JPRS

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Objectives: Fingertip injuries are common, and there are many techniques used for reconstruction. The authors reviewed the outcomes of fingertip reconstruction, including sensation and shape, using the combined technique of the adipofascial cross-finger flap and glabrous skin graft and defined the optimal dimensions of fingertip defect that is applicable to this technique. Methods: Between 2006 and 2016, 10 cases, aged 3-60 years (mean, 28.1 years), who had undergone fingertip reconstruction using a combination of the adipofascial cross-finger flap and glabrous skin graft were reviewed. The presence of fingertip and nail deformity and the results of the Semmes-Weinstein monofilament and static two-point discrimination tests were analyzed. Results: Fingertip deformity was noted in three cases where the defect was more than 50% of the Tamai zone I or extended to zone II. Mild nail plate deformity was found in three cases with more than 40% of the nail bed defect. Two of these three cases presented with partial phalangeal tuft defects. Eight fingers were examined using the Semmes-Weinstein test, and their scores were between 2.83 and 4.31 in five fingers and 4.56 in three fingers. Six were examined for static two-point discrimination, with 5 mm in three, 6 mm in one, and 10 mm in two. The color and contour of all donor fingers were almost typical. Conclusions: The combination of the adipofascial cross-finger flap and full-thickness glabrous skin graft is applicable to around 50% of fingertip defect within the Tamai zone I, achieving a satisfactory shape and regaining more than protective sensation.

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Cross Finger Dorsal Adipofascial Flap-is It a Aesthetically Better Variant?

Cited by 6 publications

References 4 publications

A Systematic Review of Outcomes and Complications of Primary Fingertip Reconstruction Using Reverse-Flow Homodigital Island Flaps

A Systematic Review of Outcomes and Complications of Primary Fingertip Reconstruction Using Reverse-Flow Homodigital Island Flaps

Versatility and modifications of the cross-finger flap in reconstruction of digital soft tissue defect

Combination of the Adipofascial Cross-Finger Flap and Glabrous Skin Graft for Fingertip Reconstruction

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