Donor finger morbidity in cross-finger flaps

Composite Grafting for Traumatic Fingertip Amputation in Adults: Technique Reinforcement and Experience in 31 Digits

“…10,12-16 A cross-finger flap provides a straightforward and reliable method for soft tissue coverage of an amputated fingertip, but it needs two stages to complete the reconstructive procedure and may cause additional donor site morbidity, including cold intolerance and stiffness of the donor finger. 17 Microvascular-free tissue transfer provides an alternative for finger reconstruction, but it requires prolonged surgery and advanced microsurgical techniques such as A-V shunting and chemical leeching. 18,19 The successful use of a composite graft to reconstruct the fingertips has been demonstrated.…”

Direct and reversed dorsal digital island flaps: A review of 65 cases

“…Sensory restoration of the direct flap was measured using the static 2-point discrimination (2PD) test [10] and Semmes-Weinstein monofilament (SWM) test [11]. We evaluated colour matching of the skin graft in the donor defect that was classified as normal, hypo-pigmented and hyper-pigmented [12].…”

A-A Type, Arterialized, Venous, Flow-Through, Free Flap for Simultaneous Digital Revascularization and Soft Tissue Reconstruction???Revisited

“…In particular, this technique avoids the significant morbidity such as joint stiffness associated with the use of flaps from uninjured adjacent digits. 13 It can be used when adjacent fingers have significant injuries (like in case no. 2), and immobilization or a second operation for pedicle division is not required like with the cross-finger flap.…”