The first dorsal metacarpal artery neurovascular island flap

1988 ◽  
Vol 13 (2) ◽  
pp. 136-145 ◽  
Author(s):  
J SMALL ◽  
M BRENNEN
Keyword(s):  
Island Flap ◽  
Dorsal Metacarpal Artery ◽  
First Dorsal Metacarpal Artery

An Extended First Dorsal Metacarpal Artery Neurovascular Island Flap

1995 ◽  
Vol 20 (4) ◽  
pp. 529-531 ◽  
Author(s):  
B. GEBHARD ◽  
G. MEISSL
Keyword(s):  
Traumatic Injury ◽  
Island Flap ◽  
Severe Traumatic Injury ◽  
Dorsal Metacarpal Artery ◽  
First Dorsal Metacarpal Artery

A case of severe traumatic injury to the thumb treated by an extended variation of the first dorsal metacarpal artery neurovascular pedicled island flap is reported.

The First Dorsal Metacarpal Artery Neurovascular Island Flap

1988 ◽  
Vol 13 (2) ◽  
pp. 136-145
Author(s):  
J. O. SMALL ◽  
M. D. BRENNEN
Keyword(s):  
Index Finger ◽  
Donor Site ◽  
Island Flap ◽  
Neurovascular Flap ◽  
Dorsal Metacarpal Artery ◽  
First Dorsal Metacarpal Artery

A first dorsal metacarpal artery island flap from the index finger was used in 20 cases for reconstruction of defects in the hand. In six cases it was used as a neurovascular flap for sensory resurfacing of the thumb and in five cases for release of a contracted first web. One flap underwent necrosis and there was a complication in one donor site.

Modified first dorsal metacarpal artery island flap for sensory reconstruction of thumb pulp defects

2015 ◽  
Vol 41 (2) ◽  
pp. 177-184 ◽  
Author(s):  
H. Wang ◽  
C. Chen ◽  
J. Li ◽  
X. Yang ◽  
H. Zhang ◽  
...  
Keyword(s):  
Island Flap ◽  
Control Group ◽  
Terminal Branch ◽  
Level Of Evidence ◽  
Mean Values ◽  
Dorsal Branch ◽  
Dorsal Metacarpal Artery ◽  
Sensory Reconstruction ◽  
First Dorsal Metacarpal Artery

Restoration of tactile sensation after reconstruction of a thumb pulp defect is import for hand function. We describe our clinical experience using a modified first dorsal metacarpal artery island flap innervated by the radial dorsal branch of the proper digital nerve and the terminal branch of the superficial radial nerve in 20 consecutive cases. The results were compared with 25 patients treated by the conventional Foucher’s first dorsal metacarpal artery flap without nerve repair. At the final follow-up, flap sensation was assessed using static two-point discrimination and Semmes–Weinstein monofilament testing. All flaps survived uneventfully in both groups. At the final follow-up, the mean values for static two-point discrimination and Semmes–Weinstein monofilament testing in the study group were significantly different from the values in the control group. The modified first dorsal metacarpal artery island flap provides a reliable and simple option for sensory reconstruction of thumb pulp defects. Level of evidence: Therapeutic, level III

Two New Applications for the First Dorsal Metacarpal Artery Pedicle in the Treatment of Severe Hand Injuries

1995 ◽  
Vol 20 (4) ◽  
pp. 525-528 ◽  
Author(s):  
G. GERMANN ◽  
R. HORNUNG ◽  
T. RAFF
Keyword(s):  
Index Finger ◽  
Hand Injury ◽  
Hand Injuries ◽  
Island Flap ◽  
Arterial Network ◽  
First Case ◽  
Arterial Revascularisation ◽  
Dorsal Metacarpal Artery ◽  
New Applications ◽  
First Dorsal Metacarpal Artery

Two new indications for the use of the first dorsal metacarpal artery (1st DMA) in reconstruction following severe hand injury are reported. In the first case, a primary pollicization of the index finger was based solely on the dorsal arterial network. The second case involves a microvascular arterial revascularisation of a 1st dorsal metacarpal artery island flap. Neither procedure has previously been described.

Restoration of thumb sensibility with the innervated first dorsal metacarpal artery island flap

2003 ◽  
Vol 28 (5) ◽  
pp. 758-766 ◽  
Author(s):  
Markus Tränkle ◽  
Michael Sauerbier ◽  
Christoph Heitmann ◽  
Guenter Germann
Keyword(s):  
Island Flap ◽  
Dorsal Metacarpal Artery ◽  
First Dorsal Metacarpal Artery

THE HOLEVICH FLAP REVISITED: A COMPARISON WITH THE FOUCHER FLAP, CASE SERIES

Hand Surgery ◽  
2014 ◽  
Vol 19 (03) ◽  
pp. 469-474 ◽  
Author(s):  
José Couceiro ◽  
Marcos Sanmartín
Keyword(s):  
Statistical Analysis ◽  
Range Of Motion ◽  
Case Series ◽  
Venous Congestion ◽  
Island Flap ◽  
Flap Necrosis ◽  
Cold Intolerance ◽  
Dorsal Metacarpal Artery ◽  
The Mean ◽  
First Dorsal Metacarpal Artery

The first dorsal metacarpal artery flap was initially described by Hilgenfeldt, it was designed as a racquet flap by Holevich and modified as an island flap by Foucher and Braun. The objective of the present is to compare the Holevich flap and the Foucher flap in terms of venous congestion and flap necrosis. From 2009 to 2013, ten first dorsal metacarpal artery flaps were performed at our hospital's hand unit. Five of the flaps were Holevich type flaps and five of the flaps were Foucher flaps. There were seven men and three women. The mean age was 47 years for the Foucher flap group (17–67 years), and 48 years for the Holevich flap group (36–61 years). Strength, static two tips discrimination, ranges of motion, satisfaction, cold intolerance, pain, flap congestion and flap necrosis were recorded for both groups. Similar values of strength, pain, range of motion and two tips discrimination were found on both groups. There was a higher incidence of flap congestion and necrosis on the Foucher flap group (two thumbs underwent partial flap necrosis and two underwent venous congestion in three patients). There was also a higher incidence of cold intolerance in the Foucher group (two patients exhibited moderate cold intolerance and one exhibited a severe cold intolerance). A proper statistical analysis was not possible due to the size of the case series. In this small case series the Holevich exhibited less flap necrosis, less venous congestion, and less incidence of cold intolerance than the Foucher flap.

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