Distally based dorsal metacarpal flaps: a review of a series of patients treated in a 6-month period.
The management of dorsal digital and hand injuries can pose a difficult problem to the trainee surgeon. Often repair involves using tissue from neighbouring digits. Our experience using local perforator flaps based on the direct cutaneous branch of the dorsal metacarpal arteries shows that these can be dissected and used successfully in the management of complex injuries of the dorsum of the hand and proximal phalanges. The flap has been used in a series of seven patients treated over a 6-month period by plastic surgery trainees with 100% success. This one-stage procedure resulted in good functional and aesthetic outcome and left an acceptable donor scar.
Department of Plastic Surgery, Royal Preston Hospital, Sharoe Green Lane North, Fulwood, PR2 9HT, UK. e.katerinaki@sheffield.ac.uk
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Katerinaki
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Chakrabarty
D000328:Adult; D000368:Aged; D005260:Female; D005383:Finger Injuries / Q000601:surgery; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008663:Metacarpus / Q000098:blood supply; D008833:Microcirculation; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome