title: Dorsal metacarpal adipofascial flaps for palmar finger and hand reconstruction.
abstract: Palmar finger and hand soft tissue reconstruction using a dorsal metacarpal adipofascial flap as well as using a split-thickness skin graft obtained from a nonweight-bearing area of the sole is reported. Two cases of posttraumatic palmar hand scar contracture, 1 case of postburn palmar hand scar contracture, and 1 case of excisional palmar finger defect were repaired using this operation. Excellent results were obtained in all cases without any complications. This procedure is thought to be an effective method having many advantages and bringing about satisfactory results esthetically as well.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Toho University Ohashi Medical Center, Tokyo, Japan. prsoni@med.toho-u.ac.jp
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Onishi
authors.forename: Yu
authors.initials: Y
authors.lastname: Maruyama
mesh_terms: D002921:Cicatrix / Q000150:complications / Q000601:surgery*; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005205:Fascia / Q000637:transplantation; D005260:Female; D005385:Fingers / Q000601:surgery*; D006225:Hand / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D050151:Subcutaneous Fat / Q000637:transplantation; D013524:Surgical Flaps