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Journal of Hand Surgery (British and European Volume)
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Five Years on

The Role of Cross-Finger Flaps in the Primary Management of Untidy Flexor Tendon Injuries

D. T. Gault
A. A. Quaba

From the Regional Plastic Surgery Unit, St. Andrew’s Hospital, Billericay, Essex, UK

This is a report of five patients who sustained untidy division of flexor tendons in zones 1 and 2, associated with overlying soft tissue loss. Contrary to traditional teaching, the tendon injuries were repaired primarily, and the tissue loss was made good with a cross-finger flap.

At final evaluation, three cases were assigned excellent grades and two cases fair grades by Kleinert criteria. This unexpectedly favourable outcome may be due to a quality of the inner surface of the cross-finger flap and/or to staggering of the skin and tendon suture lines.

Journal of Hand Surgery (British and European Volume), Vol. 18, No. 3, 408 (1993)
DOI: 10.1016/0266-7681(93)90077-S
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