Purpose: To study the time to wound healing and recurrence rate achieved in the treatment of distal interphalangeal joint mucous cysts using the Zitelli modified bilobed flap.
Methods: We surgically treated 33 patients from January 2006 to June 2015. We assessed demographic data, comorbidities, location and size of the cyst, time to wound healing, and complications.
Results: The most affected finger was the right middle finger. All flaps survived and wounds healed in 14 days on average. The mucous cyst recurred in 1 of 33 cases. There were no major complications.
Conclusions: The Zitelli bilobed flap can provide good-quality skin coverage over the distal interphalangeal joint in a short period.
Type of study/level of evidence: Therapeutic IV.
Keywords: Bilobed; coverage; cyst; flap; mucous.
Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.