76 Axial Flag Flap and First Dorsal Metacarpal Artery Flap (Kite Flap)

Hand Surgery ◽  
2020 ◽  
Keyword(s):  
Kite 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.

Comparison of the Modified Moberg Flap Versus First Dorsal Metacarpal Artery Flap for Thumb Pulp Reconstruction

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Fatih Durgut ◽  
Ali Ozdemir ◽  
Musa Ergin ◽  
Ali Güleç ◽  
Mehmet Ali Acar
Keyword(s):  
Dorsal Metacarpal Artery ◽  
First Dorsal Metacarpal Artery

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.

scholarly journals Soft tissue reconstruction of low voltage electric burn injuries of the thumb and first web space by the first dorsal metacarpal artery island flap: a three-year study from Eastern India

2020 ◽  
Vol 7 (4) ◽  
pp. 1082
Author(s):  
Madhumita Gupta ◽  
Prabir Kumar Jash
Keyword(s):  
Soft Tissue ◽  
Low Voltage ◽  
Burn Injuries ◽  
Soft Tissue Defects ◽  
Dorsal Metacarpal Artery ◽  
Web Space ◽  
Electric Burns ◽  
Tissue Defects ◽  
First Dorsal Metacarpal Artery

Background: Complex soft tissue defects of thumb and first web space are a reconstructive challenge. Low voltage electric burns of the hand commonly result in localised and deep soft tissue destruction. The first dorsal metacarpal artery flap (FDMA) is an attractive local flap option to reconstruct these. This study illustrates our experience with the same.Methods: Between March 2014 and February 2017, 16 patients with complex soft tissue defects of thumb and first web space resulting from low voltage electric burns underwent reconstruction with the FDMA flap and subsequent structured hand therapy. In the follow up visits objective assessment of hand function included tests of mobility using Kapandji Score, sensory evaluation with static 2 point discrimination and cortical reorientation. The Subjective Satisfaction Score was used to ascertain the patient’s overall perception of aesthetic and functional outcome.Results: Majority (43.75%) of the patients had defects involving the thumb IP joint. No case of complete flap failure was noted. In a mean follow-up of 11.5 months the reconstructed thumb showed return of good protective sensation as well as mobility. Though cortical reorientation was complete in only 18.75 %, it did not substantially impede hand functioning. All patients were satisfied with the functional and aesthetic result.Conclusions: In cases of low voltage electric burn injuries the FDMA flap is a reliable reconstructive option for small to moderate sized complex defects of thumb and first web space. It has minimal donor site morbidity and can be accomplished in a relatively simple single stage procedure.

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

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