A COMPARATIVE STUDY OF CROSS-FINGER FLAP VERSUS SPLIT-THICKNESS SKIN GRAFT FOR RESURFACING OF SOFT TISSUE LOSS IN FINGERTIP INJURY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 85
Abstract
BACKGROUND Different types of Fingertip injuries are found in human population and different modalities of treatment options are available. Results of the treatment vary according to the mode of treatment. In our institute, we prefer cross-finger flap coverage for composite tissue loss of fingertip defect. The aim of the study is to find out long-term result of cross-finger flap in comparison with STSG. MATERIALS AND METHODS The study was conducted between November 2014 and October 2016 in Late Sri Lakhiram Agrawal Memorial Govt. Medical College Hospital. It was a time bound, prospective comparative study. It was non-randomised, as patients were segregated into Group A [cross-finger flap (CFF)] and Group B [Split thickness skin graft (STSG)] based on their choice. RESULTS Results were assessed in terms of duration of surgery, length of stay, durability, resistance to normal stress injury, finger stiffness and aesthetic acceptance of repaired area of finger and touch sensation. CONCLUSION Duration of surgery was assessed at the time of surgery between cross-finger flap and STSG groups. Length of hospital stay was assessed and noted postoperatively. Functional outcome was assessed after discharge and followup of patients. Operative time for CFF was more than for STSG. Duration of hospital stay in patients treated with CFF than STSG was same. Functional outcome at 12 months was better in CFF. Durability,
Authors and Affiliations
Radharaman Panda
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