The “Open Book” Flap: A Heterodigital Cross-Finger Skin Flap and Adipofascial Flap for Coverage of a Circumferential Soft Tissue Defect of a Digit

Tadiparthi, Sujatha; Akali, A.; Felberg, L.

doi:10.1177/1753193408094441

Cited by 6 publications

(5 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Compared to free flap techniques, this method is simpler as it does not require a microsurgical technique, but this means that it can only be used in cases where the neurovascular bundle is intact. Also, this flap is only suitable for isolated DSTI of the III or IV fingers, as it requires 2 healthy adjacent fingers, but this problem can be solved with the Open Book flap [20]: it is a similar procedure, with similar indications, but using one healthy adjacent finger as the donor area.…”

Section: Innervated Arterialized Venous Flap From the Dorsal Surface ...mentioning

confidence: 99%

Surgical Treatment of Finger Degloving Injuries Without Usable Skin: a Case Report and Literature Review

Stulpinas

Venciūtė-Stankevičė

Jakutis

2022

View full text Add to dashboard Cite

show abstract

Section: Innervated Arterialized Venous Flap From the Dorsal Surface ...mentioning

confidence: 99%

Surgical Treatment of Finger Degloving Injuries Without Usable Skin: a Case Report and Literature Review

Stulpinas

Venciūtė-Stankevičė

Jakutis

2022

View full text Add to dashboard Cite

show abstract

“…Tadiparthi, et al [49] increased the reach of cross finger flap far beyond imagination. To cover a medium sized circumferential defect of ring finger, they used skin flap form donor middle finger (for volar cover) and the adipofascial flap from same digit (for dorsal cover).…”

Section: Modificationsmentioning

confidence: 99%

Timeline of Cross Finger Flap: From its Inception to its Future

Chakraborty¹,

Acharya²,

Midya³

et al. 2021

Trauma Cases Rev

View full text Add to dashboard Cite

Since the first description of the cross-finger flap in 1950 for finger injury defect cover, over the last 70 years it has been tremendously explored and has underwent innumerable refinements and modifications. Whether used alone or in combination with other flaps for the reconstruction of finger defects, traumatic or non-traumatic, cross finger flap has proven its worth as a workhorse for finger reconstruction. Despite a handful of innate disadvantages, it has given excellent sensory, functional, and aesthetic outcomes in vast majority of studies. This article has been an attempt to reveal the entire rich journey and inexhaustible history of cross finger flap. With such a grandiose potential, it only seems that the cross finger flap will be continuously evolving over time and keep serving mankind in better ways.

show abstract

“…8 The skin flap venous flow is drained into the fascial pedicle and the subcutaneous venous network underlying the digital dorsum in a direct or labyrinthic manner. 9 The superficial venous trunk that orients the outline of the skin flap parallels with the dorsal digital cutaneous nerve. The superficial venous trunk is the main venous backflow route of the digit.…”

Section: Discussionmentioning

confidence: 99%

Distally Based Dorsal Digital Fasciocutaneous Flap for the Repair of Digital Terminal Amputation Defects

Hou¹,

Ju²,

Zhao³

et al. 2013

International Surgery

View full text Add to dashboard Cite

The preferred plastic surgery regimen for distal digital segment wounds remains unknown, although multiple options are available for the repair. The purpose of this investigation is to study its anatomic rationale and clinical outcomes, in addition to the role of dorsal digital veins in digital reconstruction. Patients (n = 765) suffering from digital terminal segment traumatic wounds (823 digits) were identified and reviewed in a retrospective manner. The wounds were repaired using distally based dorsal digital fasciocutaneous flaps with venoneuroadipofascial pedicles. Skin flaps survived in 818 digits (99.4%), whereas 5 flaps (0.6%) became partially necrotic. Postoperative follow-up data were available from 521 patients involving 559 digits, for an average duration of 10 months (range, 4-36 months). The wider pedicled fascial flap (1.0-1.5 cm) was significantly associated with a decreased occurrence of blebs, whereas the first few patients with pedicled fascial flaps 0.5 to 1.0 cm wide exhibited more frequent occurrence of blebs and flap contractures. The flaps retracted in size within the first 2 to 3 months at the rate of 10% compared with the intraoperative outlined size. The skin flaps became mildly pigmented within the first postoperative month, and at 6 months the flaps turned brighter in color, almost approximating the color of the normal digits. At 12 months, both the texture and appearance of the flaps were acceptable. The donor sites healed without any scar contracture. The digital terminals appeared grossly normal with acceptable digital function. Without any neural reconstruction, skin flap sensation was rated as S2 to S3+, whereas with neural reconstruction the 2-point discrimination sensitivity measured 4 to 9 mm. The use of a distally based dorsal digital fasciocutaneous flap with venoneuroadipofascial pedicle was a simple, safe, and less invasive regimen for repairing digital terminal segment wounds.

show abstract

The “Open Book” Flap: A Heterodigital Cross-Finger Skin Flap and Adipofascial Flap for Coverage of a Circumferential Soft Tissue Defect of a Digit

Cited by 6 publications

References 13 publications

Surgical Treatment of Finger Degloving Injuries Without Usable Skin: a Case Report and Literature Review

Surgical Treatment of Finger Degloving Injuries Without Usable Skin: a Case Report and Literature Review

Timeline of Cross Finger Flap: From its Inception to its Future

Distally Based Dorsal Digital Fasciocutaneous Flap for the Repair of Digital Terminal Amputation Defects

Contact Info

Product

Resources

About