Perforator plus hatchet flap for salvage of donor site complication following cross finger flap: A case report

Abstract

Cross finger flaps are commonly used flap for the reconstruction of soft tissue defects involving the fingers and thumb. Following reconstruction by cross finger flap, the donor area is usually addressed with split thickness or full thickness skin graft. When considering the benefits of cross finger flap to other reconstructive options, cross finger flap seems to be the most common option in plastic surgeons’ armamentarium. Complications in the donor area due to infection or inflammation are uncommon as the hand being a highly vascular structure. We present a case of cross finger flap with graft loss in the donor area as a complication, salvaged by a perforator plus flap incorporated in the hatchet flap. There were not any complications following the salvage procedure. Hyperbaric oxygen therapy was used as an adjunct for a salvage procedure.