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Related Experiment Video

Updated: Jul 23, 2025

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Donor Finger Morbidity in Cross-Finger Flap: A Systematic Review and Meta-Analysis.

Sourabh Shankar Chakraborty1, Ranjit Kumar Sahu2, Sudeshna Acharya3

  • 1Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Kalyani, Nadia, West Bengal, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|July 12, 2023
PubMed
Summary

Donor finger morbidity after cross-finger flaps shows no significant impact on range of motion (ROM). However, sensory recovery and aesthetic outcomes in the donor finger require further objective evaluation.

Keywords:
cross-finger flapdonor fingermorbiditysystematic review

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Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Regenerative Medicine

Background:

  • Donor finger morbidity in cross-finger flaps is often overlooked compared to flap outcomes.
  • Existing literature on sensory, functional, and aesthetic donor finger morbidity is contradictory.
  • This study systematically evaluates objective parameters of donor finger outcomes.

Purpose of the Study:

  • To systematically evaluate objective parameters of donor finger morbidity following cross-finger flap procedures.
  • To synthesize existing evidence on sensory recovery, stiffness, cold intolerance, and cosmetic outcomes.
  • To provide a clearer understanding of donor finger outcomes in reconstructive surgery.

Main Methods:

  • Systematic review adhering to PRISMA protocol.
  • Comprehensive literature search using keywords: "cross-finger," "heterodigital," "donor finger," "transdigital."
  • Meta-analysis of data including 2-point discrimination, range of motion (ROM), and cold intolerance from 16 studies (279 patients).

Main Results:

  • Middle finger was the most common donor site.
  • Static two-point discrimination was impaired in donor fingers compared to contralateral fingers.
  • No statistically significant difference in interphalangeal joint ROM between donor and control fingers; however, one-third of donor fingers experienced cold intolerance.

Conclusions:

  • Cross-finger flaps do not significantly affect the range of motion of the donor finger.
  • Sensory deficits and aesthetic concerns in donor fingers warrant further objective investigation.
  • This review highlights areas for improved patient outcomes in donor site management.