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KMID : 0358820090360050674
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2009 Volume.36 No. 5 p.674 ~ p.677
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Cross Finger Flap with Reduction Pulp Plasty and Full Thickness Skin Graft
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Cho Yong-Hyun
Roh Si-Gyun
Lee Nae-Ho
Yang Kyung-Moo
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Abstract
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Purpose: Typical cross finger flap is still a good method for reconstruction of fingertip injuries. However, it is necessarily followed by great loss and aesthetically unpreferable result of donor finger. Hereby, we introduce a modification of cross finger flap with reduction pulp plasty and full thickness skin graft, with which we could reduce the defect size of injured fingertip and donor site morbidity at the same time, without any need for harvesting additional skin from other part of hand. Received January 9, 2009 Revised April 29, 2009 Accepted July 21, 2009 Address Correspondence: Nae Ho Lee, M.D., Department of Plastic and Reconstructive Surgery, Chonbuk National University Hospital, 634-18 Geumam-dong, Deokjin-gu, Jeonju 561-712, Korea. Tel: 063)250-1860/Fax: 063)250-1866/E-mail: leenaeho@chonbuk.ac.kr * 이 논문은 2007년 제62차 대한성형외과학회 학술대회에서 포스터 발표되었음. * 이 논문은 전북대학교병원 임상연구소의 학술연구비 지원에 의하여 연구되었음.
Methods: This method was performed in the patients with fingertip injuries of complete amputation or in case of loss of fingertip due to necrosis after replantation. Firstly, reduction pulp plasty was performed on the injured finger to reduce the size of defect of fingertip. Additional skin flap was obtained from the pulp plasty. Secondly, cross finger flap was elevated from the adjacent finger to cover the defect on the injured finger. At the same time, defect on the donor finger produced by the flap elevation was covered by full thickness skin graft with the skin obtained from the pulp plasty of injured finger.
Results: Flap and graft survived without any necrosis after surgical delay and flap detachment. All of them were healed well and did not present any severe adversary symptoms.
Conclusion: Cross finger flap with reduction pulp plasty and full thickness skin graft is an effective method that we can easily apply in reconstruction of fingertip injury. We think that it is more helpful than the usual manner, especially in cases of children with less soft tissue on their fingers for preservation and reduction of the morbidity of donor finger.
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KEYWORD
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Finger injuries, Grafting, Skin, Flap, Surgical
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