Abstract
Summary AH innervated cross-finger flap for treatment of severe fingertip injuries is described. With this method, the dorsal skin over the middle phalanx, together with its sensory nerve, is transferred as a compound skin-nerve flap. A neurorrhaphy is performed between this nerve and the cut end of the digital nerve at the injury site. Seven of eight patients (88 percent) treated with this method (mean follow-up time 14.4 months) achieved measurable two-point discrimination. The average for those who did was 4.8 mm. A group of patients with similar injuries treated with standard cross-finger flaps exhibited slower sensory return that progressed to a lower level. In this group (mean follow-up time 16.3 months), three of six (50 percent) achieved measurable two-point discrimination with a mean value of 9 mm.
Original language | English (US) |
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Pages (from-to) | 688-695 |
Number of pages | 8 |
Journal | Plastic and Reconstructive Surgery |
Volume | 72 |
Issue number | 5 |
DOIs | |
State | Published - Nov 1983 |
ASJC Scopus subject areas
- Surgery