Secondary mobilization of the first dorsal metacarpal artery flap for first web space reconstruction in a child: A case report.
The authors report the case of an iterative mobilization of a skin flap based on the first dorsal metacarpal artery. This flap was initially associated with a toe-to-hand transfer to provide adequate skin coverage in the reconstruction of a post-traumatic thumb defect in a 5-year-old child. More than 8years after initial surgery, this flap was mobilized again for recovery of the first web space opening, which was retracted. This case illustrates the possibility of remobilizing the first dorsal metacarpal artery flap to reduce donor site sequelae in children.
Service de chirurgie plastique, reconstructrice et esthétique, CHRU de Brest, boulevard Tanguy-Prigent, 29609 Brest cedex, France. Electronic address: alexandra.trimaille@wanadoo.fr.
A
A
Trimaille
Service de chirurgie plastique, reconstructrice et esthétique, CHRU de Brest, boulevard Tanguy-Prigent, 29609 Brest cedex, France.
N
N
Kerfant
Service de chirurgie orthopédique, traumatologique et réparatrice, CHRU de Brest, boulevard Tanguy-Prigent, 29609 Brest cedex, France.
D
D
Le Nen
Service de chirurgie orthopédique pédiatrique, CHRU de Brest, 2, avenue Foch, 29609 Brest cedex, France.
B
B
Fenoll
Service de chirurgie plastique, reconstructrice et esthétique, CHRU de Brest, boulevard Tanguy-Prigent, 29609 Brest cedex, France.
W
W
Hu
D000293:Adolescent; D000673:Amputation, Traumatic / Q000601:surgery; D003286:Contracture / Q000601:surgery*; D006801:Humans; D008297:Male; D013524:Surgical Flaps / Q000098:blood supply / Q000601:surgery*; D013933:Thumb / Q000293:injuries / Q000601:surgery*; D014034:Toes / Q000637:transplantation
Child; Enfant; First dorsal metacarpal artery flap; First web space; Lambeau; Pouce; Première artère métacarpienne dorsale; Première commissure; Reconstruction; Thumb