title: Dorsal metacarpal island flap in syndactyly treatment.
abstract: Web space reconstruction is an important component of syndactyly treatment. There are several methods for a skin graft-free reconstruction. Previously, the dorsal metacarpal island flap based on a direct cutaneous branch of the dorsal metacarpal artery has been used as an island V-Y advancement for web defects in syndactyly. In this study, dorsal metacarpal artery flap was raised similarly as an island but was used instead as a transposition flap in a series of 19 web defects. Early results of a median (range) follow-up of 3 (1-5) years reveal neither recurrence of the deformity nor web creeping. Such utilization of the flap enables a better use of the skin territory proximal to the pedicle and a more comfortable reconstruction of the web space.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Istanbul Medical Facility, Turkey.
authors.forename: Atakan
authors.initials: A
authors.lastname: Aydin
authors.forename: Burcu Celet
authors.initials: BC
authors.lastname: Ozden
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D016038:Skin Transplantation; D013524:Surgical Flaps; D013576:Syndactyly / Q000601:surgery*; D016896:Treatment Outcome