The Monodigital Superposed Cross-Finger Plasty

摘要

The impossibility to perform the cross-finger plasty in the palmar digital defect situated at the level of the PIP joint of the donor finger and the limited dimensions of the digital defect to be covered are two of the limits of using this method in the reconstruction of important supratendinous palmar soft tissue defects at the 2nd, 3rd and 4th PIP and the 5th DIP joint level. Because all other currently used methods have disadvantages, I propose this new, more efficient reconstruction method, characterized by two superposed flaps devised on the dorsal face of the donor finger (one on the proximal phalanx and another on the medial phalanx), separated by the PIP joint juxtaposed skin. The monodigital superposed cross-finger plasty is elective in palmar juxtaarticular digital defects, even when these are multiple, leading to excellent structural and functional results.