Repair of an Index Finger Amputation with a Middle to Index  Cross Finger Flap.

A cross finger flap can prevent the need to shorten a digit in attempts to close the soft tissues. Preserving length to a digit is critical and adds to its functional ability. Preserving the distal phalanx and distal inter-phalangeal joint, regardless of how much of the distal phalanx is left is especially important since the profundus tendons’ insertion and function adds tremendous strength to flexion.

Amputation index finger. Preparing for middle to index cross finger flap.







Middle finger flap attached to the index finger amputation site and skin graft applied to donor middle finger.







At time of division and insetting.






Flap viable after division and insetting.