cross-finger flap

cross-finger flap

a flap designed on the volar or (more commonly) dorsal surface of one finger and used to reconstruct the opposing surface of an adjacent finger or the thumb of the same hand. The donor site is closed with a skin graft. In a second stage 2-3 weeks later, the pedicle is divided and the fingers separated.
See also: cross flap.
References in periodicals archive ?
These include the cross-finger flap or the thenar flap which necessitate two stages with temporary attachment and immobilization of the finger, or other flaps that allow single-stage repair and early mobilization, such as the V-Y advancement flap and digital artery perforator flap.
The defects were repaired with V-Y advancement flaps in 57% (45 patients - 51 fingers), kite flap in 15% (13 patients - 13 fingers), cross-finger flap in 12% (11 patients - 11 fingers), Kutler flap in 6% (4 patients - 5 fingers), digital artery perforator flap in 6% (4 patients - 5 fingers), and thenar flap in 4% (4 patients - 4 fingers) of the injuries [Figure 3].
The cross-finger flap is a good option when other local flaps cannot be used [Figure 6].
[3] Local flap coverage like V-Y pasty, [4,5] Volar advancement flap [6,7&8] and cross-finger flap [9,10,11,12,13,14,15,16,17] and homodigital neurovascular flap.H8]
During the study period, we were able to enrol 72 patients operated either by cross-finger flap or by splitthickness skin graft (36 subjects in each group).
Duration of surgery was assessed at the time of surgery between cross-finger flap and split thickness skin graft groups.
Severe tissue loss in critical finger pulps can be resolved with either a thenar or cross-finger flap.
Then, a cross-finger flap was applied on the exposed bone after debridement for volar skin defect because of circulation loss.
Patients with an open wound on the palmar region with dorsal defect were administered cross-finger flap [Figure 2].
[4] Ulkur E et al concluded that proximal interphalangeal joint can be released by transverse incision and ample resection of scarred tissue, and the resulting palmar skin defect that cannot be covered by using the finger's own flaps or cross-finger flap can be covered by combined use of cross-finger and side-finger transposition flaps.
Cross-finger flaps may be used when the entire distal volar aspect of the thumb has been avulsed.
Cross-finger flaps are frequently used in the treatment of the digits, especially of those with volar defects.