title: Coverage of dorsal-ulnar hand wounds with a reverse second dorsal metacarpal artery flap.
abstract: This article introduces the use of a modified reverse dorsal hand flap harvested from the radial portion of the dorsal hand and wrist and the distal portion of the dorsal forearm for reconstruction of a large defect involving the third to fifth metacarpophalangeal (MCP) joints and the proximal phalanges. From May 2005 to August 2008, a modified reverse dorsal hand flap was transferred in 12 hands in 12 patients (9 male and 3 female). The mean age at flap transfer was 34.2 years (range: 23 to 50 years) old. All flaps survived. At final follow-up (mean, 28 months; range: 25 to 32 months), the mean active range of motion arcs of the third, fourth, and fifth MCP joints were 85 degrees (range: 65 to 97 degrees), 84 degrees (range: 60 to 90 degrees), and 83 degrees (range: 58 to 94 degrees), respectively. Our technique is useful and reliable for coverage of a large defect involving the third to fifth MCP joints and the proximal phalanges.
authors.affiliation: Department of Hand Surgery, The Second Hospital of Qinhuangdao, Changli, Qinhuangdao, PR China. ahand@sina.com
authors.forename: Xu
authors.initials: X
authors.lastname: Zhang
authors.forename: Xinzhong
authors.initials: X
authors.lastname: Shao
authors.forename: Chunzhen
authors.initials: C
authors.lastname: Ren
authors.forename: Sumin
authors.initials: S
authors.lastname: Wen
authors.forename: Hongwei
authors.initials: H
authors.lastname: Zhu
authors.forename: Jianxin
authors.initials: J
authors.lastname: Sun
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D005383:Finger Injuries / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008662:Metacarpophalangeal Joint / Q000293:injuries / Q000601:surgery; D008833:Microcirculation / Q000502:physiology; D008875:Middle Aged; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012189:Retrospective Studies; D017695:Soft Tissue Injuries / Q000175:diagnosis / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D017535:Ulnar Artery / Q000601:surgery / Q000637:transplantation*; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult