Cross Finger Flap for Finger Pulp and Stump Reconstruction

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Journal of the Korean Society for Surgery of the Hand 1999;4(2):271-277.
Published online January 1, 1999.

Chong Kwan Kim,Jeong Whan Kim,Jeong Whan Kim,Young Whan Kim,Chae Ik Chung,Shik Whang

교차 수지 피판술을 이용한 수지 원위부 성형술

김종관,이상국,김정환,김영환,정재익,황식

Abstract

Various techniques have been used in reconstruction of finger pulp and stump injuries. Inspite of some disadvantages, cross finger flap is relatively simple procedure without demanding technique and widely used to cover the skin defect without significant complication. The purpose of this study is to know the problems, advantages, usefullness of this procedure, and to know the counterplan for prevention of complication. We reviewed 17 cases of finger stump reconstruction with cross finger flap from Jan. 1993 to Dec. 1997. We observed the fingertip appearence, deformities, degree of pain, two-point discrimination and patient's satisfaction by review of clinical status and follow-up results. There were 1 case of mild flexion contracture(15 degree) in joint and 1 case of pain in pinching. Two-point discrimination was measured in 5 cases(av. 7.4 mm). Patients were satisfied cosmetically in 14 of 17 cases at donor site and 16 of 17 cases at recipient site. We consider that cross finger flap is a useful method to reconstruct the skin defect of finger pulp and stump because this procedure is a less demanding technique and less complicated, and the most consistent indication is a volar directional skin defect.

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