Cross-finger flaps are a powerful tool in terms of soft tissue reconstruction for defects of the fingers and thumb. In conditions where the cause is based on to infection or inflammation, there is always doubt on the part of plastic surgeons with regards to skeletonizing the pedicle for ease of transfer. Here, we present a case of cross finger flap with inclusion of an adipofascial component for reconstruction of the thumb soft tissue defect. The adipofascial component helps in reducing donor site exposure to extensor expansion and helps by filling up the deficit in recipient defect. In the current study, we used a hyperbaric oxygen therapy as an adjunct during the treatment process. The results were satisfactory with no flap complications.
Key words: Cross finger flap, diabetic ulcer, adipofascial flaps, hyperbaric oxygen therapy
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