title: [The second dorsal metacarpal artery flap with distant pivot point].
abstract: OBJECTIVE
  To introduce a modified flap pedicled with the second dorsal metacarpal artery.
  
  
  METHODS
  Seven thumb wounds were repaired with the second dorsal metacarpal artery flap. The size of the flap ranged from 1 cm x 3 cm to 2 cm x 4 cm, and the length of the vascular pedicle was 6 to 7 cm.
  
  
  RESULTS
  All flaps survived and the results were satisfactory.
  
  
  CONCLUSIONS
  This method is an option for repairing thumb defects when the local skin flap or island flap on the index and middle finger is not available.
authors.affiliation: Hangzhou City Plastic Surgery Hospital, Hangzhou, 310014, China.
authors.forename: J
authors.initials: J
authors.lastname: Yao
authors.forename: J
authors.initials: J
authors.lastname: Song
authors.forename: J
authors.initials: J
authors.lastname: Li
mesh_terms: D000293:Adolescent; D000328:Adult; D001158:Arteries / Q000033:anatomy & histology; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008663:Metacarpus / Q000098:blood supply*; D013524:Surgical Flaps / Q000098:blood supply*; D013933:Thumb / Q000293:injuries / Q000601:surgery