The “Open Book” Flap: A Heterodigital Cross-Finger Skin Flap and Adipofascial Flap for Coverage of a Circumferential Soft Tissue Defect of a Digit

Abstract

A case of circumferential digital skin loss with exposed tendons from the proximal phalanx to the distal interphalangeal joint is presented. This was treated with a two-layer heterodigital cross-finger (“open book”) flap from the adjacent digit, utilising a skin-only cross-finger flap to cover the palmar defect and an adipofascial flap to cover the dorsal defect.