title: Reverse-flow first dorsal metacarpal artery flap for index fingertip reconstruction.
abstract: Dorsum of the hand is an ideal skin-flap donor site for coverage of hand or finger defects. We elevated 8 reverse-flow first dorsal metacarpal artery flap in 9 patients for soft-tissue cover of index fingertip injuries distal to distal interphalangeal joint with exposed bone. In 3 patients, the digital branch of the superficial radial nerve was coapted to the digital nerve. All flaps healed uneventfully, except for 1 patient in which partial necrosis of the flap occurred. Postoperative follow-up was 4-12 months (mean, 8 months). Reverse-flow first dorsal metacarpal artery flap is a good alternative for reconstruction of index fingertip injuries.
authors.affiliation: Ankara Social Security Hospital Plastic and Reconstructive Surgery Clinic, Ankara, Turkey. sebatmursel@hotmail.com
authors.forename: Sebat
authors.initials: S
authors.lastname: Karamürsel
authors.forename: Selim
authors.initials: S
authors.lastname: Celebioğlu
mesh_terms: D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*