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Updated: Mar 28, 2026

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The Reverse Cross Finger Flap.

Erdoğan Atasoy1

  • 1Division of Hand Surgery, Department of Surgery, Christine M. Kleinert Institute for Hand and Microsurgery, Kleinert Kutz Hand Care Center, University of Louisville, Louisville, KY.

The Journal of Hand Surgery
|December 30, 2015
PubMed
Summary

The reverse cross finger flap procedure is for severe digital injuries affecting skin, nailbeds, and tendons. It involves using adjacent finger tissue when direct repair or grafting is not possible.

Keywords:
Cross fingerflapreconstructionreversesubcutaneous

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Hand Surgery

Background:

  • Deep dorsal digital injuries often involve skin, nailbed, and extensor tendons.
  • These complex injuries may preclude direct repair or grafting options.
  • Alternative reconstructive methods are necessary for functional restoration.

Purpose of the Study:

  • To describe the indications and technique for the reverse cross finger flap.
  • To highlight its utility in managing complex digital injuries.

Main Methods:

  • The reverse cross finger flap procedure is detailed.
  • It is indicated for dorsal digital injuries unresponsive to conventional treatments.

Main Results:

  • The reverse cross finger flap serves as a reconstructive option for severe digital injuries.
  • Adjacent dorsal digital flaps are utilized when primary repair or grafting fails.

Conclusions:

  • The reverse cross finger flap is a valuable technique for specific dorsal digital injuries.
  • It addresses cases where tissue loss necessitates alternative flap coverage.