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The cross-finger flap. An established reconstructive procedure.

D A Kappel, J G Burech

    Hand Clinics
    |November 1, 1985
    PubMed
    Summary
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    Cross-finger flaps offer a reliable and flexible solution for finger reconstruction, providing functional, durable, and pain-free results for most patients. While cold intolerance persists, this method ensures good sensibility and preserves function, leading to high patient satisfaction.

    Area of Science:

    • Plastic Surgery
    • Hand Surgery
    • Reconstructive Surgery

    Background:

    • Finger injuries often result in significant soft tissue loss, necessitating effective reconstructive techniques.
    • Cross-finger flaps represent a surgical option for restoring finger form and function.

    Purpose of the Study:

    • To evaluate the efficacy and patient outcomes of cross-finger flaps for finger reconstruction.
    • To assess the functional results, morbidity, and patient satisfaction associated with this procedure.

    Main Methods:

    • Prospective study involving subjective questioning and objective testing of 23 patients who underwent cross-finger flap reconstruction.
    • Analysis of patient data including flap functionality, durability, pain, sensibility, and range of motion.

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    Main Results:

    • Cross-finger flaps demonstrated reliability and flexibility in application across a diverse age range.
    • Patients reported functional, durable, and pain-free flaps, with preserved length and range of motion.
    • Good flap sensibility was observed in most patients, and disability settlement was rare.

    Conclusions:

    • Cross-finger flap reconstruction is a valuable and effective procedure for injured fingers with significant soft tissue loss.
    • The technique offers minimal morbidity and high patient satisfaction when carefully performed in properly selected individuals.