Cross Finger Flap with Full Thickness Skin Wrap
Presented by Dr. Pankaj Jindal · MS (Orthopaedics); Hand Surgery Fellowships (France, Michigan, Louisville)
Cross Finger Flap with Full Thickness Skin Wrap
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Sign in to watchCreate a free accountA male patient presented with a traumatic volar thumb-tip avulsion involving loss of pulp coverage and exposure of the distal phalanx. Radiographs showed no significant bony loss or fracture. The nail plate was lost, although the nail bed remained intact. Because exposed bone precluded primary closure or healing by secondary intention, flap coverage was required to preserve thumb length.
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Cross-finger flap reconstruction provides reliable vascularised coverage for a substantial thumb-tip defect with exposed bone, preserving thumb length when meticulous flap design, tension-free inset, paratenon preservation and undisturbed postoperative healing are maintained.
Key takeaway
Cross-finger flap reconstruction provides reliable vascularised coverage for a substantial thumb-tip defect with exposed bone, preserving thumb length when meticulous flap design, tension-free inset, paratenon preservation and undisturbed postoperative healing are maintained.