The cut may need to be cleaned or stitched, and you may be given antibiotics. If you cut off a full thickness flap, it will take many weeks to heal and will scar badly. Fig. Common donor areas are the injured finger itself, a non-injured finger, and the palm of the hand. You have attempted to cut the tip of your finger off with a very sharp blade. This kind of flap has a texture identical to what was there before the lesion. Skin grafts and pedicled flaps are the traditional methods of reconstructing injuries; both have some disadvantages. Wont help or hurt the puncture wound. A skin graft may be used to cover the donor area and to help it heal. Flaps can be categorized in a variety of ways; for example, based on their blood supply, method of movement, proximity to the defect, configuration, and composition ( Table 2.5.1). indications fingertip amputation with no exposed bone and > 2cm of tissue loss; flap reconstruction. finger amputation with exposed bone and the ability to rongeur bone proximally without compromising bony support to nail bed; full thickness skin grafting from hypothenar region. This piece of tissue with its attached blood supply is used in reconstructive surgery by being set into a recipient site (injured area onto which a flap or graft is placed). I put a plaster on it once bleeding calmed down. Skin flaps completely cut from the donor site will have their blood vessels reconnected to blood vessels at the flap site. Skin healing after a cut finger with knife occurs depending upon the individual, the size and depth of the wound. Anyway it cut right through the pad of my finger, so it sort of left a flap of skin. Subsequently, spotty raw areas in the flap covering the index finger were covered with split thickness skin graft (Fig. It is optimally used for digits of unequal length so that the donor fingertip is not violated, and the skin island is best taken from the less dominant side of the donor finger. For certain types of cuts, super glue is a great resource for closing and protecting the wound. Methods. From this procedure, the neurovascular pedicle has been transferred from its original path to the volar center. THE CROSS-FINGER FLAP The cross-finger flap is a 2-staged flap reconstruction that was first described by Cronin26 in 1951. I've used butterfly bandages and fingercots (both available at any old drug store) on bad finger cuts. Here too, the index finger was separated first. I got a cut on my finger on October 29, by setting up a banner, it snapped and smashed my finger but it also made a deep cut, which I only used bandages. The tourniquet is released to check the flap viability. I accidentally cut a chunk of skin off of my middle finger on my left hand with scissors. The skin is cut to form an appropriate-sized flap. A flap is a piece of tissue that is still attached to the body by a major artery and vein or at its base. what should i do? Background. 1 doctor answer. This may be done by first washing the adjacent skin with soap and water and removing crusted blood with diluted hydrogen peroxide. It is very challenging to suture such a wound and reattach the skin without causing it to bunch up or hang too loosely. I have only been using butterfly bandages, but seems my skin is drying without sealing the cut. As of today November 7th, my cut is still opened, the skin is separated. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Bandaids really aren't ideal for cuts on the finger, you can buy square like dressings that wrap around better. Here, we introduce a new clinical application of split-thickness skin with pedicle for repairing finger wounds. If you leave it on, the flap wont re-attach because the skin on the flap is dying and you can (but not always) risk infection. It's important also that you don't air the wound out, especially if the cut is deep and you want the flap to heal with the wound. It should only be a few seconds before curiosity sets in and you peel the wrap off to have a look. Create a triangular-shaped flap with the base of the flap at the cut edge of the skin where the amputation occurred. Dr. Jeffrey Wint answered. However, the skin graft requirement and a need of secondary operation in patients undergoing cross-finger flap together should be mentioned as the main disadvantages of this technique. You must be sure the flap is truly partial thickness before trimming it away. Dressings are placed on the wound to protect it from infection and help it heal faster. This medical demonstration video features a doctor explaining how to do just that, performing a flap suture quickly and efficiently. Eventually the flap will just fall off anyway. Long story short knife "jumped" off the worksurface when I caught the handle with my elbow. If you've got a hanging flap, you probably don't want to try to close it up with super glue or the like -- it needs to heal from the inside out. Superficial skin: Injury to his fingertips involving a fin slice of skin that is just hanging by a small thread certainly can be removed however if it's only a partial injury then often stitching is better as it will heal faster sometimes the very edge of a skin flap can't be stitched but provides a little bit of soft tissue protection. A heterodigital vascularized island flap can functionally restore large soft tissue defects to the injured fingertip in a single stage. 34 years experience Hand Surgery. Conclusion The dorsal fascial flap can be applied as an alternative surgical method in patients with fingertip defects including nail loss or damage in order to provide an esthetically favorable nail appearance. Pus under skin: in the hand if not decompressed, can lead to a more severe inection that can spread quickly even in … This is called "reconstructive flap surgery." If the cut is in a crease, the healing would be delayed since the skin is being constantly moved. Treating minor cuts and grazes. Blood supply through this flap is provided through dorsal branches of the volar digital arteries and this … I use nail clippers to cut flaps off. In this first step you'll want to wrap your finger and hold it above you're head like you've been taught to do. indications It was my little finger, so I don't think it's too serious, however it bled a lot. A skin flap is commonly used to cover a deep or large open wound, or repair damaged skin. The skin flap is rotated and advanced to distal to cover the finger tip. Keep an eye on any flaps and cut … I cut my finger last night on a knife. Injection into a regional nerve - called "nerve block" - (for cuts to the fingertip, the nerves at the finger base are often blocked with a series of shots) Cleaning is the most important aspect of good wound care. Even physicians make this mistake. Depending on the type of fingertip injury and surgery performed, your recovery time will vary. 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