Reverse-Flow First Dorsal Metacarpal Artery Flap for Index Fingertip Reconstruction

06:42, 09/03/2017

Reverse-Flow First Dorsal Metacarpal Artery Flap for Index Fingertip Reconstruction

Sebat Karamu ̈rsel, MD, and Selim C ̧elebiog ̆lu, MD

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Abstract: Dorsum of the hand is an ideal skin-flap donor site for coverage of hand or finger defects. We elevated 8 reverse-flow first dorsal metacarpal artery flap in 9 patients for soft-tissue cover of index fingertip injuries distal to distal interphalangeal joint with exposed bone. In 3 patients, the digital branch of the superficial radial nerve was coapted to the digital nerve. All flaps healed uneventfully, except for 1 patient in which partial necrosis of the flap occurred. Postoperative follow-up was 4–12 months (mean, 8 months). Reverse-flow first dorsal metacarpal artery flap is a good alternative for reconstruction of index fingertip injuries.

Key Words: first dorsal metacarpal artery (Ann Plast Surg 2005;54: 600–603)

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