The Thin Cross Finger Skin Flap

Gökrem, Serdar; Tuncali, Dogan; Terzioğlu, Ahmet; Toksoy, Kemalettin; Aslan, Gürcan

doi:10.1016/j.jhsb.2007.02.010

Cited by 13 publications

(7 citation statements)

References 12 publications

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“…Tissue loss after traumatic hand lesion can be corrected with procedures performed in the area of reconstructive surgery; for example, in the study by Gokrem et al 2 they used the crossfinger technique for correction of loss of skin tissue in the digital pulp of the fingers. Experimental studies 15 show that there is a deleterious effect of nicotine on skin flaps, causing an increase of the necrosis area.…”

Section: Discussionmentioning

confidence: 99%

“…(Figure 3) The mold of the whole flap was drawn on transparent tracing paper, delimiting the necrotic area from the viable area of the flap, then fixed on the tablet of the MiniMop, and the perimeter of the total and necrotic areas was outlined with a stylus. (Figure 4) With this procedure the MiniMop automatically measures the area in mm 2 and sends the data to a compatible IBM-PC microcomputer, where they are stored in the form of files to be used in the Excel program for descriptive statistical analysis.…”

Section: Flap Necrosis Area Percentage Determination Methods Manual Mementioning

confidence: 99%

“…These tissue losses can be corrected with procedures carried out in the area of reconstructive surgery, in which the surgeons use skin flaps as the most frequent resource in the performance of their interventions. 2,3 However, necrosis continues to be the main technical complication, and can lead to treatment failure. 4 In literature, there are surveys using non-pharmacological therapeutic resources that merit special emphasis, such as acupuncture and electroacupunture 5 and polarized 6 and non-polarized low-frequency electrical currents.…”

Section: Introductionmentioning

confidence: 99%

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Laser 830nm na viabilidade do retalho cutâneo de ratos submetidos à nicotina

et al. 2011

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Objective: To investigate the possible effects of laser diode 830nm counter to the action of nicotine on the viability of the skin flap in rats. Methods: 24 Wistar-albino rats were used, divided into 3 groups of 8: Group 1 -subject to the surgical technique to obtain the random skin flap in cranial base, subcutaneous injection of nicotine of 2mg/Kg/day a week before and one week after surgery and simulation of laser. Group 2 -similar to group 1, the random skin flap in the cranial base were subjected to laser irradiation immediately after surgery and on the subsequent 4 days. After euthanasia, areas of necrosis and viable tissue were examined by a manual method (weighing the Role of Feedback) and by the semi-automated method of analysis (Mini-Mop ® ). Results: The results were statistically analyzed by ANOVA. The values of the percentage of necrotic area by the method of analysis showed a decreased area of necrosis in group 2 where the laser was applied. Conclusion: The 830nm laser was effective in improving the viability of skin flaps in rats subjected to the action of nicotine. Level of evidence II: Therapeutic Studies -Investigating the results of treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Flap Necrosis Area Percentage Determination Methods Manual Mementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laser 830nm na viabilidade do retalho cutâneo de ratos submetidos à nicotina

et al. 2011

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“…They were treated with either free split-thickness skin grafts, v-y advancement flaps, cross-finger flaps, first dorsal metacarpal artery based flap, radial artery based flap and pedicle flaps from the abdomen at the Department of Orthopedics, Hind Institute of Medical Sciences, Safedabad, Barabanki, Uttar Pradesh, India, between May 2014 to Oct 2018. 3,4,8,[9][10][11][12] Procedure to perform was decided based on factors such as the level of the digits involved, occupation of patient, age of the patient, complicating injuries, discussion with patient and relatives, written informed consent. Patients with poly trauma and burn contracture were not included in the study.…”

Section: Methodsmentioning

confidence: 99%

Fingertip reconstruction: study of functional and cosmetic results of various local flaps and grafting techniques in patients attending a tertiary care center in North India

Khan

Kumar²,

Srivastava³

2019

Int J Res Med Sci

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Background: Finger injuries are becoming more common with the increasing use of mechanical, industrial, and household appliances. There are six main types of repair for this injury. The replacement of skin loss in digital injuries, particularly on the volar aspects, is an important part of hand-injury management. It would be of value to know the best type of cover, especially for sensory reinnervation as well as for subjective evaluation, cosmetic appearance and freedom from complications. The objective of this study was to measure incidence of age, sex, site, pattern of injury as well as to evaluate and compare the functional and cosmetic results of the various local flap and grafting techniques in finger reconstruction distal to metacarpophalangeal joint.Methods: In a prospective study between May 2014 to October 2018 consisting of 50 patients (43 males, 7 females), aged between 2 years and 54 years, with soft tissue loss distal to metacarpophalangeal joint were treated with either free split-thickness skin grafts, palmar flaps, cross-finger flap or pedicle flaps from the abdomen. The follow-up period ranged from 10 days to 15 months from the date of surgery. Subjective and objective evaluation was done and graded as excellent, good, fair and poor.Results: In this series there were 2 good and 6 fair results for split skin grafting; 9 good and 6 fair results for v-y plasty; 5 excellent, 12 good and 4 fair results for cross finger flap; 1 good and 1 fair result for radial artery based flap; 1 excellent and 1 good for first metacarpal artery based flap and 2 good results for abdominal flap. Overall 6(12%) had excellent, 27(54%) had good and 17(34%) had fair results. None of them had poor results.Conclusions: The group of patients with cross-finger flaps had less subjective complaints and more normal objective testing results than the other groups. When an extensive tactile pad avulsion exists, the cross-finger pedicle flap offers the best long-term result with fewer secondary problems. The exclusive use of any one method cannot be advocated since each serves an useful purpose under proper conditions.

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“…The cross finger flap is an alternative to full thickness skin grafting for total nail unit excision defects and similar large surgical wounds . In most instances, however, patients with wounds limited to the nail apparatus may be spared this multistage surgery.…”

Section: Total Nail Unit Flapsmentioning

confidence: 99%

Flaps in nail surgery

Jellinek

2012

Dermatol Ther

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Nail surgery, particularly when it involves the matrix, may lead to permanent nail deformity, with associated disruption in digital function. Soft tissue rearrangement of the nail tissues, nail flaps, can be used to reconstruct the nail to preserve a more normal nail plate. Other nail flaps can also be used to correct congenital malalignment, to cover full thickness nail unit defects, and for nail fold reconstruction. The indications and techniques for successful flap reconstruction are reviewed.

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The Thin Cross Finger Skin Flap

Cited by 13 publications

References 12 publications

Laser 830nm na viabilidade do retalho cutâneo de ratos submetidos à nicotina

Laser 830nm na viabilidade do retalho cutâneo de ratos submetidos à nicotina

Fingertip reconstruction: study of functional and cosmetic results of various local flaps and grafting techniques in patients attending a tertiary care center in North India

Flaps in nail surgery

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