The proximal first dorsal metacarpal artery free flap for reconstruction of complex digital defects

P. Hyza, T. Kubek, J. Vesely, L. Drazan, U. Choudry

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

We describe our experience and outcome with the 'Proximal first dorsal metacarpal artery free flap'. Ten consecutive cases utilizing the proximal first dorsal metacarpal artery free flap for complex digital defects were studied. Surgical technique, patient demographics, and flap outcome data were collected. Patient satisfaction was analysed using a questionnaire. All defects healed successfully with no loss of free flaps. The short-pedicle proximal first dorsal metacarpal artery free flap enables primary closure of the donor site up to 2 cm of width (in nine of the ten donor sites). The flap is a reliable and versatile alternative in selected cases of complex digital injuries.

Original languageEnglish (US)
Pages (from-to)399-404
Number of pages6
JournalJournal of Hand Surgery: European Volume
Volume38
Issue number4
DOIs
StatePublished - May 1 2013

Keywords

  • First dorsal metacarpal artery flap
  • complex hand trauma
  • digital defect
  • free flap
  • kite flap

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