title: [The reverse flap based on two dorsal metacarpal artery for reconstruction of degloved fingertip avulsion].
abstract: OBJECTIVE
  To discuss the application of reverse flap based on two dorsal metacarpal artery for reconstruction of degloved fingertip avulsion.
  
  
  METHODS
  From Jan. 2005 to Mar. 2008, 28 cases with degloved fingertip avulsion were treated with reverse flaps based on two dorsal metacarpal artery. The defects were located distal to the distant interphalangeal joints and were 0.8-2.2 cm in length. 10 defects was in the index fingers, 13 in the middle fingers and 5 in the ring fingers. 24 fingers were treated in an emergency surgery. 4 fingers were treated due to skin necrosis.
  
  
  RESULTS
  Epidermal necrosis happened at the distal end of flaps in 3 cases. All the other flaps survived completely. 25 cases were followed up for 4-27 months with satisfactory cosmetic and functional results. The 2-points discrimination distance was 6.0-9.0 mm (average, 7.6 mm).
  
  
  CONCLUSIONS
  The reverse flap based on two dorsal metacarpal artery is easily performed and reliable for degloved fingertip avulsion with satisfactory results.
authors.affiliation: Department of Hand Surgery, the Second Hospital of Tangshan, Tangshan 063000, China.
authors.forename: Wen-Long
authors.initials: WL
authors.lastname: Zhang
authors.forename: Shun-Hong
authors.initials: SH
authors.lastname: Gao
authors.forename: Chao
authors.initials: C
authors.lastname: Chen
authors.forename: Tie-Peng
authors.initials: TP
authors.lastname: Ma
authors.forename: Bin
authors.initials: B
authors.lastname: Wang
authors.forename: Xiao-Xuan
authors.initials: XX
authors.lastname: Fei
authors.forename: Cheng
authors.initials: C
authors.lastname: Jiao
authors.forename: Hui-Shuang
authors.initials: HS
authors.lastname: Dong
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome; D055815:Young Adult