title: Salvage of a thumb replant using a bilobed dorsal metacarpal artery island flap: case report and literature review.
abstract: Amputations and degloving injuries of the hand are highly disabling, especially when they affect the thumb. Dorsal metacarpal artery (DMCA)-based flaps have been well-documented in the literature for use in extensive degloving injuries of both dorsal and palmar aspects of the thumb surface. Modifications on these flaps, such as the bilobed island flap, offer additional advantages when larger surface areas or more distal defects of the thumb are present. We present a review of the literature on the DMCA flap and describe its use to salvage a partial survival of a thumb amputation through the metacarpophalangeal joint.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, 1625 Poplar Street, Suite 200, Bronx, NY 10461, USA.
authors.forename: Salim C
authors.initials: SC
authors.lastname: Saba
authors.forename: John
authors.initials: J
authors.lastname: Lee
authors.forename: Vinod V
authors.initials: VV
authors.lastname: Pathy
authors.forename: Renata V
authors.initials: RV
authors.lastname: Weber
references.citation: J Hand Surg Am. 1987 May;12(3):415-21
references.pmid: 3584890
references.citation: J Hand Surg Br. 1995 Apr;20(2):231-6
references.pmid: 7797978
references.citation: Ann Plast Surg. 1996 Feb;36(2):180-91
references.pmid: 8919384
references.citation: Plast Reconstr Surg (1946). 1953 Nov;12(5):303-19
references.pmid: 13111910
references.citation: Br J Plast Surg. 1990 Jan;43(1):17-23
references.pmid: 2310895
references.citation: Ann Plast Surg. 2005 Oct;55(4):352-6
references.pmid: 16186696
references.citation: J Hand Surg Am. 1978 Sep;3(5):474-81
references.pmid: 568154
references.citation: J Hand Surg Am. 1987 Sep;12(5 Pt 1):693-6
references.pmid: 3655225
references.citation: J Hand Surg Br. 1989 Nov;14(4):434-40
references.pmid: 2482855
references.citation: Plast Reconstr Surg. 2003 Mar;111(3):1151-8
references.pmid: 12621185
references.citation: Br J Plast Surg. 1996 Mar;49(2):97-102
references.pmid: 8733348
references.citation: J Bone Joint Surg Br. 1958 Aug;40-B(3):454-76
references.pmid: 13575459
references.citation: Br J Plast Surg. 1990 Jan;43(1):24-7
references.pmid: 2155682
references.citation: J Bone Joint Surg Am. 1969 Oct;51(7):1257-63
references.pmid: 4898576
references.citation: Ann Plast Surg. 2004 Nov;53(5):449-54
references.pmid: 15502460
references.citation: Br J Plast Surg. 1996 Mar;49(2):103-6
references.pmid: 8733349
references.citation: Br J Plast Surg. 1982 Jul;35(3):390-3
references.pmid: 6295536
references.citation: Isr Med Assoc J. 2002 Jun;4(6):421-3
references.pmid: 12073413
references.citation: Tech Hand Up Extrem Surg. 2004 Dec;8(4):198-211
references.pmid: 16518093
references.citation: Plast Reconstr Surg. 2005 Oct;116(5):103e-122e
references.pmid: 16217456
references.citation: J Hand Surg Br. 1993 Apr;18(2):152-6
references.pmid: 8501360
references.citation: J Hand Surg Am. 1980 Nov;5(6):575-83
references.pmid: 7000885
references.citation: J Hand Surg Am. 1994 Jan;19(1):26-31
references.pmid: 8169365
references.citation: J Hand Surg Br. 1986 Jun;11(2):163-74
references.pmid: 3734551