Reversed cross finger subcutaneous flap: A rapid way to cover finger defects

ABSTRACT

Adequate coverage of dorsal finger wounds is often a challenge. The reversed cross finger subcutaneous flap to cover defects on the dorsum of phalanx constitutes an excellent option for coverage of wounds over the middle and distal phalanges of the index, middle, ring, and small fingers. It′s an easy flap and represents our first choice to cover those defects.

KEYWORDS

Homodigital flaps - finger flaps - adipofascial flaps - defect

• 1 Braga-Silva J, Kuyven CR, Albertoni W, Faloppa F. The adipofascial turn-over flap for coverage of the dorsum of the finger: A modified surgical technique. J Hand Surg Am 2004; 29: 1038-43
• 2 Thatte RL. Deepithelialised turnover flaps. Plast Reconstr Surg 1989; 84: 172-3
• 3 Thatte RL, Gopalakrishna A, Prasad S. The use of de-epithelialised "turn over" flaps in the hand. Br J Plast Surg 1982; 35: 293-9
• 4 Thatte RL. Random-pattern de-epithelialised "turn-over" flaps to replace skin loss in the upper third of the leg. Br J Plast Surg 1981; 34: 312-4
• 5 Atasoy E.. Reversed cross-finger subcutaneous flap. wJ Hand Surg 1982; 7: 481-3
• 6 Foucher G, Merle M, Debry R. The flap returned dιsιpidermisι. Ann Chir Main 1980; 65: 616-26
• 7 Moris AM. Rapid skin cover in hand injuries using the reverse dermis flap. Br J Plast Surg 1981; 34: 194-6
• 8 Pakiam AI. The reversed dermis flap. Br J Plast Surg 1978; 31: 131-5
• 9 Lucas GL. The pattern of venous drainage of the digits. J Hand Surg Am 1984; 9: 448-50