[Anatomic variations of the vascular network of the first dorsal commissure. Uses of the kite flap].
Thirty dissections were performed on fresh, unfixed, adult cadavers after vascular injection of silastic or methylene blue. Analysis of the results led to replacement of the concept of a single dorsal intermetacarpal artery, the constant pedicle of the kite flap, by that of an intermetacarpal vascular system composed of one or two supra- and/or sub-aponeurotic vessels. The existence of distinct direct skin branches of this intermetacarpal vascular system is defined. The various possible modes of vascularisation of the kite flap are listed, defining the situations at risk and leading to precise practical applications in terms of surgical technique.
Dautel
G
G
Service Assistance Main, Hôpital Jeanne-d'Arc, CHU Nancy, Toul.
Merle
M
M
Borrelly
J
J
Michon
J
J
D000328:Adult; D001158:Arteries / Q000033:anatomy & histology; D005205:Fascia / Q000033:anatomy & histology; D006801:Humans; D008663:Metacarpus / Q000098:blood supply*; D008722:Methods; D012867:Skin / Q000098:blood supply; D016038:Skin Transplantation; D013524:Surgical Flaps; D013933:Thumb / Q000098:blood supply*
Variations anatomiques du réseau vasculaire de la première commissure dorsale. Applications au lambeau cerf-volant.