A Comparison between Reversed Cross Finger Flap and Reversed Island Homo-digital Flap in Reconstruction of Distal Dorsal Digital Defects

Sleem, Elhossieny Abdelaal; Saied, Samia Mohamed; Mohamed, Karam Ahmed; Elsayed, Gamal Youssef

doi:10.21608/ejhm.2023.286042

A Comparison between Reversed Cross Finger Flap and Reversed Island Homo-digital Flap in Reconstruction of Distal Dorsal Digital Defects

Document Type : Original Article

Authors

10.21608/ejhm.2023.286042

Abstract

Background: The reversed cross-finger flap is a modification for cross-finger flap with the strategies of the hetero-digital island flap. In the reversed cross-finger flap, the digital artery opposing the distal communicating arch and the pedicle are included. Objective: This work aimed to assess reversed cross finger flap with reversed island homo-digital flap in reconstructing distal dorsal finger defect regarding functional, reliability and esthetic results.
Methods: This prospective study was performed on 30 cases with distal dorsal digital defects and deformities, size of the defect ranged from 1-3 cm in length and 1-2 cm in width and availability of a healthy donor site. All patients were subjected to laboratory investigations [Prothrombin time (PT) and complete blood count (CBC)], radiological examination and photographs.
Results: In reversed cross-finger flap, the size of the flap ranged from 2 to 4 cm in length and 1 to 3 cm in width and in Reversed Island homo-digital flap, it ranged from 1 to 3 cm in width and 4 to 6 cm in length. Reversed island homo-digital flap was done in 15 patients with distal flap necrosis only in one case.
Conclusions: Both reversed cross finger flap and reversed island homo-digital flap are dependable alternatives for treatment of minor to moderate size deformities and defects on the fingers’ dorsum up to fingertip.

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