Indian Journal of Plastic Surgery
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Year : 2012  |  Volume : 45  |  Issue : 3  |  Page : 504--511

Distally based cross-finger flaps for amputation stumps in avulsion amputations

Department of Plastic and Reconstructive Surgery, Jubilee Mission Medical College and Hospital, Thrissur, Kerala, India

Correspondence Address:
Rahul K Patil
Department of Plastic Surgery, Jubilee Mission Medical College and Hospital, East Fort, Thrissur - 680 005 Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-0358.105961

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Background: Though advances in microsurgery have resulted in better survival rates of replants, replanting crushed and avulsed digits are difficult. If replantation is not possible these digits need local tissue cover to retain length. Patients and Methods: Twenty seven patients underwent distally based cross finger flaps for coverage of exposed vital structures over the amputation stumps. Results: All the flaps survived well. They provide good quality thin pliable tissue over the fingertips and help in achieving near normal range of movements in injured digits. Conclusion: Distally based cross finger flap gives tissues of right dimensions, at the most desired site, making reconstruction of these difficult problems quiet easy.


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