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286042

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

Article

Last updated: 24 Dec 2024

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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.  

DOI

10.21608/ejhm.2023.286042

Keywords

Homo-digital flap, Reversed cross finger flap, Reconstruction, hand reconstruction, Distal dorsal digital defects

Authors

First Name

Elhossieny Abdelaal

Last Name

Sleem

MiddleName

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Affiliation

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Email

elhossienysleem92@gmail.com

City

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Orcid

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First Name

Samia Mohamed

Last Name

Saied

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Karam Ahmed

Last Name

Mohamed

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Gamal Youssef

Last Name

Elsayed

MiddleName

-

Affiliation

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Email

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City

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Orcid

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Volume

90

Article Issue

2

Related Issue

39562

Issue Date

2023-01-01

Receive Date

2023-02-17

Publish Date

2023-01-01

Page Start

2,567

Page End

2,573

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 90_Issue 2_Pages 2567-2573.pdf

PDF . 428.8kB

Link

https://ejhm.journals.ekb.eg/article_286042.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=286042

Order

87

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

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

Details

Type

Article

Created At

24 Dec 2024