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Reversed cross finger subcutaneous flap: A rapid way to cover finger defects

Introduction

We report here a case of a butcher who injured his left index while cutting meat. This trauma was responsible for a defect involving the extensor system and the skin at the level of the middle phalanx. The patient was operated under loco-regional anaesthesia. The proximal and distal interphalangeal joints were fixed in extension using kirschner wire. The extensor system was repaired using a tendon graft from the extensor proprius tendon of the little finger. The skin defect was covered using a reversed cross finger subcutaneous flap harvested from the dorsum of the third finger. The deep side of the flap was grafted after fixation in the recipient site using a full thickness ...

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