We report a case of blast injury to the left hand which resulted in fractures of the fingers with exposure of bones and joints of the phalanges. We used three reverse adipofascial cross finger flaps raised at the same time from 2 fingers to reconstruct adjacent fingers of the patient. The patient recovered well postoperatively and had good range of movement of the fingers. This avoided the complications of the use of regional or distal flaps. To our knowledge, this is the first case reported in which three reverse adipofascial cross fingers flaps are raised at the same time, two of them from an injured finger, to cover three raw areas on two fingers of a patient.
References
[1]
Gurdin, M. and Pangman, W.J. (1950) The Repair of Surface Defect of Fingers by Transdigital Flaps. Plastic and Reconstructive Surgery, 5, 368871.
[2]
Hoskins, H.D. (1960) The Versatile Cross-Finger Pedicle Flap. JBJS Case Connector, 1, 261-277.
[3]
Pakiam, A.I. (1978) The Reversed Dermis Flap. British Journal of Plastic Surgery, 31, 131-135. https://doi.org/10.1016/s0007-1226(78)90062-0
[4]
Fang, F. and Chung, K.C. (2014) An Evolutionary Perspective on the History of Flap Reconstruction in the Upper Extremity. Hand Clinics, 30, 109-122. https://doi.org/10.1016/j.hcl.2013.12.001
[5]
Graf, P. and Biemer, E. (1992) Morbidity of the Groin Flap Transfer: Are We Getting Something for Nothing? JPRAS, 45, 86-88. https://doi.org/10.1016/0007-1226(92)90162-q
[6]
Arner, M. and Möller, K. (1994) Morbidity of the Pedicled Groin Flap a Retrospective Study of 44 Cases. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, 28, 143-146. https://doi.org/10.3109/02844319409071192
El-Sabbagh, A.H., Zeina, A.A.El-M., El-Hadidy, Al-M. and El-Din, A.B. (2011) Reversed Posterior Interosseous Flap: Safe and Easy Method for Hand Reconstruction. Journal of Hand and Microsurgery, 3, 66-72. https://doi.org/10.1007/s12593-011-0042-y
[9]
Braga-Silva, J. (2005) Anatomic Basis of Dorsal Finger Skin Cover. Techniques in Hand and Upper Extremity Surgery, 9, 000-000. https://doi.org/10.1097/01.bth.0000173726.99670.f0
[10]
Naji, S.H. (2001) Dorsal Adipofascial Turnover Flap for Dorsal Defects of Finger Injury. Medical Journal of Babylon, 8, 67-72.
[11]
Ozdemir, R., Kilinç, H., Sensöz, O., Unlü, R.E. and Baran, C.N. (2001) Innervated Dorsal Adipofascial Turnover Flap for Fingertip Amputations. Annals of Plastic Surgery, 46, 9-14. https://doi.org/10.1097/00000637-200101000-00003
[12]
Robbins, T.H. (1985) The Use of De-Epithelialised Cross-Finger Flaps for Dorsal Finger Defects. British Journal of Plastic Surgery, 38, 407-409. https://doi.org/10.1016/0007-1226(85)90253-x
