Double cross-finger flaps: a novel technique for management of ring avulsion injuries.

A new approach "Double Cross-Finger Flaps" was used for coverage of ring avulsion injuries. In our series, 22 cases of ring avulsion injuries were operated upon by this new technique. Choice of the patient suitable for such technique is based upon fulfillment of certain criteria. Two cross-finger flaps were harvested, one to cover the palmer aspect and the other to cover the dorsal aspect after being de-epithelized and turned over. Split-thickness graft was then applied to cover the raw areas. Both functional and aesthetic outcomes were reported after a mean of 6 months period of follow-up.