title: Neurocutaneous metacarpal flaps.
abstract: The article describes the possibility of covering large skin defects of the fingers by the use of fasciocutaneous flap from the back of the hand. It is pedicled on a sensory nerve branch and its paraneural tissue. The flap relies on blood supply from the constant para- and intraneural vascular network which gives perforator branches towards the overlying skin as well as on the constant anastomoses between the dorsal and volar arterial pool. We present a patient with a skin defect along the whole radial side of the index who underwent such reconstruction.
authors.affiliation: Pirogov Hospital for Emergency Medicine, Hand Surgery Department, Sofia, Bulgaria. mkateff@yahoo.com
authors.forename: M
authors.initials: M
authors.lastname: Kateva
authors.forename: K
authors.initials: K
authors.lastname: Dimitrov
mesh_terms: D000328:Adult; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D050279:Metacarpal Bones / Q000637:transplantation*; D019635:Neurosurgical Procedures / Q000379:methods*; D011826:Radial Nerve / Q000293:injuries* / Q000601:surgery*; D012867:Skin; D013524:Surgical Flaps