Fingertip and Nailbed Injuries: Local Flaps-Surgical Skills Videos – Cross-finger Flap by Kevin Malone. From Chapter 38: Soft Tissue Coverage of the Hand

Surgical Skills Videos – Cross-finger Flap by Kevin Malone. From Chapter 38: Soft Tissue Coverage of the Hand - Hand Surgery Update IV. Published 2014.

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Video Transcription

Video Summary

In this video, the cross-finger flap technique is demonstrated for providing coverage over the volar aspect of the digits. A defect on the ring finger is covered with a flap from the middle finger. The dimensions of the flap and skin grafts are carefully marked out to ensure adequate coverage and wound healing. The video shows the elevation of the flap, incorporation of dorsal veins and peritoneum over the extensor tendon, harvesting of skin grafts from either the wrist or the hypothenar region, and the suturing and bolstering of the graft and flap. The tourniquet is released to ensure proper blood flow, and the bolster is removed after 10 days, with the flap being divided 2-3 weeks later. No credits were given in the transcript.

Keywords

cross-finger flap technique

coverage

skin grafts

wound healing

flap