Cross Finger Flap vs Thenar Flap for Finger Tip Reconstruction - A Comparative Study in a Tertiary Care Hospital

Introduction: Fingertip injuries are common hand injuries ranging from simple laceration to larger defects with amputations. Different methods are used to reconstruct the affected finger. Cross finger flaps and thenar flaps are commonly used but it is difficult to select among these two flaps for finger reconstruction. These flaps are reliable and simple to perform without the need for neurovascular dissection. It is an Materials And Method: Institutional based,comparative study conducted in patients with finger tip injuries in SSKMCH between 18-70 years of age. The study period was 12 months (From February 2024 to January 2025). 50 patients were included in this study. The aesthetic (sensibility, appearance and function as subjective assessment) and functional outcomes (2 point discrimination and range of motion) were measured. Data were analyzed using SPSS version 25. There was male predisposition with average age of 35.33 years. The common etiology of i Results: njury was crush injury with right hand most commonly involved hand and middle finger being commonly injured digit. On subjective assessment, the difference on rating scale on sensibility, function and appearance was not statistically significant among two groups. There were statistical significant differences in mean of static and moving 2 point discrimination among thenar flap and cross finger flap. We concluded that the Conclusion: re is no precise characteristics for the selection of thenar and cross finger flap based on aesthetic and functional outcomes in reconstruction of fingertip injury.