PMC4623539_01
Temporary management of the wound. (a) Exposed extensor tendon over dorsal aspect of proximal phalanx of left middle finger. (b) Transient coverage of wound with cadaveric skin graft. The white arrow indicated exposed tendon.
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PMC4623539_01_icrp-2-015-g001.jpg
F0001
The defect over the left middle finger was transiently covered with a cadaveric skin graft after confirming free of tumor invasion over surgical margins and base with intra-operative frozen section analysis (Figure 1).
Finger reconstruction by using the SPBRA flap. (a) Preoperative defect of the left middle finger (antero-posterior view). (b) Preoperative defect of the left middle finger (lateral view). (c) Flap design. (d) Postoperative view.
icrp-2-015-g002.jpg
PMC4623539_01_icrp-2-015-g002.jpg
F0002
After marking the SPBRA, an elliptical shaped 35 x 25 mm flap over the volar surface of distal forearm was designed to facilitate donor site closure (Figure 2).