Clinical experiences with the extended first dorsal metacarpal artery island flap for thumb reconstruction

1998 ◽  
Vol 23 (4) ◽  
pp. 647-652 ◽  
Author(s):  
Hamdy A. El-Khatib
1995 ◽  
Vol 20 (4) ◽  
pp. 529-531 ◽  
Author(s):  
B. GEBHARD ◽  
G. MEISSL

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.


1988 ◽  
Vol 13 (2) ◽  
pp. 136-145
Author(s):  
J. O. SMALL ◽  
M. D. BRENNEN

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.


2015 ◽  
Vol 41 (2) ◽  
pp. 177-184 ◽  
Author(s):  
H. Wang ◽  
C. Chen ◽  
J. Li ◽  
X. Yang ◽  
H. Zhang ◽  
...  

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


1995 ◽  
Vol 20 (4) ◽  
pp. 525-528 ◽  
Author(s):  
G. GERMANN ◽  
R. HORNUNG ◽  
T. RAFF

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.


2003 ◽  
Vol 28 (5) ◽  
pp. 758-766 ◽  
Author(s):  
Markus Tränkle ◽  
Michael Sauerbier ◽  
Christoph Heitmann ◽  
Guenter Germann

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