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The thin cross finger skin flap.

S Gokrem¹, D Tuncali, A Terzioglu

¹Ankara Training and Research Hospital, Department of Plastic-Reconstructive and Aesthetic Surgery, Cebeci, Ankara, Turkey. sergokrem@hotmail.com

The Journal of Hand Surgery, European Volume

|May 8, 2007

Summary

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A modified cross-finger flap technique, elevated superficial to dorsal veins, minimizes donor site complications. This approach preserves subcutaneous tissues, improving finger function and aesthetics after surgery.

Area of Science:

Plastic Surgery
Hand Surgery
Reconstructive Surgery

Background:

The traditional cross-finger flap elevation damages subcutaneous tissues.
This damage can impair skin lengthening during finger movement.
Complications include poor graft take and reduced joint mobility.

Purpose of the Study:

To present a modified cross-finger flap elevation technique.
To prevent donor finger complications.
To improve outcomes in reconstructive hand surgery.

Main Methods:

Elevation of the cross-finger flap superficial to dorsal veins.
Application in six digits across four patients.
Evaluation of graft take, tendon adhesion, joint movement, and contour.

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Main Results:

Successful graft take in all cases.
Prevention of extensor tendon adhesion.
Maintained or improved range of finger joint movement.
Absence of contour deformities.
Preservation of subcutaneous tissue integrity.

Conclusions:

The modified technique offers a safer approach to cross-finger flap elevation.
Preserving dorsal veins and subcutaneous tissue minimizes donor site morbidity.
This method enhances functional and aesthetic outcomes in finger reconstruction.