ePlasty: Vol. 20
Two-Tongued Cross-Finger Filet Flap Distal Digit Reconstructions Using Spare Parts After Multiple Distal Digital Amputations
Ethan Song, BA,a Adrian Moy, MS,a Robert Teixeira, MD,b Sean J. Wallace, MD,b and Yee Cheng Low, MDb

aMorsani College of Medicine, University of South Florida, Tampa; and bDivision of Plastic & Reconstructive Surgery, Department of Surgery, Lehigh Valley Health Network, Allentown, Pa


Correspondence: seanjwallace@gmail.com
Keywords: digital amputation, cross finger flap, filet flap, mallet finger deformity, spare parts

CASE DESCRIPTION

A 47-year-old right-hand-dominant male mechanic presented with a mutilating left-hand injury consisting of a small finger amputation distal to the level of the distal interphalangeal (DIP) joint with exposed bone, a complex near-complete amputation of the ring finger at the proximal interphalangeal (PIP) joint with a pulverized and missing middle phalanx head, and a dorsal long finger laceration resulting in a terminal extensor tendon laceration and an exposed DIP joint.

Soft-tissue coverage utilizing an improvised 2-tongued cross-finger flap was performed utilizing the proximally based spare parts secondary to the trauma. This was achieved by removing the nonreplantable and nearly amputated distal phalanx of the ring finger and dividing the .......