PDF(Pubmed)
Abstract：
BACKGROUND: The use of two cross finger flaps from one digit has not been previously reported and the technique raises concerns regarding donor finger morbidity. In this paper, the authors report on a case series of double cross fingers flaps harvested from the middle finger to reconstruct large defects in the adjacent index or ring finger; with an emphasis on documenting morbidity in the donor middle finger.
METHODS: A total of four cases of double cross finger flaps were retrospectively reviewed. Demographic data, surgery, and postoperative complications were documented. Donor middle finger morbidity (stiffness, painful neuromas, skin graft instability, cold intolerance and cosmetic concerns) were also documented.
RESULTS: All patients were young male industrial workers. Two patients underwent reconstruction with de-epithelialized cross finger flaps and the other two patients had classic cross finger flaps. No postoperative complications were noted. Mild stiffness at the distal interphalangeal joints were noted in all patients. There were no painful neuromas and one donor site had occasional blistering at the site of the skin graft. Mild cold intolerance was seen in the two patients with electric burns. Hyperpigmentation of the skin grafts was noted in all patients.
CONCLUSIONS: Our paper introduces to the literature the technique of utilizing two cross finger flaps from the middle finger to reconstruct large dorsal or volar defects of the adjacent index or ring finger. The study shows that the technique is feasible and is easily executed. The results document an acceptable donor finger morbidity.
METHODS: A total of four cases of double cross finger flaps were retrospectively reviewed. Demographic data, surgery, and postoperative complications were documented. Donor middle finger morbidity (stiffness, painful neuromas, skin graft instability, cold intolerance and cosmetic concerns) were also documented.
RESULTS: All patients were young male industrial workers. Two patients underwent reconstruction with de-epithelialized cross finger flaps and the other two patients had classic cross finger flaps. No postoperative complications were noted. Mild stiffness at the distal interphalangeal joints were noted in all patients. There were no painful neuromas and one donor site had occasional blistering at the site of the skin graft. Mild cold intolerance was seen in the two patients with electric burns. Hyperpigmentation of the skin grafts was noted in all patients.
CONCLUSIONS: Our paper introduces to the literature the technique of utilizing two cross finger flaps from the middle finger to reconstruct large dorsal or volar defects of the adjacent index or ring finger. The study shows that the technique is feasible and is easily executed. The results document an acceptable donor finger morbidity.
摘要：
背景：以前没有报道过使用两个交叉指瓣从一个手指，该技术引起了有关供体手指发病率的担忧。在本文中,作者报告了一系列病例，从中指获取双交叉指皮瓣，以重建相邻食指或无名指的大缺陷；重点是记录供体中指的发病率。
方法：对4例双交叉指皮瓣进行回顾性分析。人口统计数据,手术,记录术后并发症。供体中指发病率(僵硬，疼痛的神经瘤，皮肤移植物不稳定，冷不耐受和化妆品问题）也被记录。
结果：所有患者均为年轻男性工业工人。两名患者接受了去上皮化的交叉指皮瓣重建，另外两名患者接受了经典的交叉指皮瓣。术后无并发症发生。所有患者均注意到远端指间关节的轻度僵硬。没有疼痛的神经瘤，一个供体部位偶尔会在皮肤移植物部位起泡。在两名电烧伤患者中发现了轻度的冷不耐受。所有患者均注意到皮肤移植物的色素沉着过度。
结论：我们的文献介绍了利用中指的两个交叉指皮瓣重建相邻食指或无名指的背侧或掌侧大缺损的技术。研究表明，该技术是可行的，易于执行。结果记录了可接受的供体手指发病率。
方法：对4例双交叉指皮瓣进行回顾性分析。人口统计数据,手术,记录术后并发症。供体中指发病率(僵硬，疼痛的神经瘤，皮肤移植物不稳定，冷不耐受和化妆品问题）也被记录。
结果：所有患者均为年轻男性工业工人。两名患者接受了去上皮化的交叉指皮瓣重建，另外两名患者接受了经典的交叉指皮瓣。术后无并发症发生。所有患者均注意到远端指间关节的轻度僵硬。没有疼痛的神经瘤，一个供体部位偶尔会在皮肤移植物部位起泡。在两名电烧伤患者中发现了轻度的冷不耐受。所有患者均注意到皮肤移植物的色素沉着过度。
结论：我们的文献介绍了利用中指的两个交叉指皮瓣重建相邻食指或无名指的背侧或掌侧大缺损的技术。研究表明，该技术是可行的，易于执行。结果记录了可接受的供体手指发病率。
