PMID: 16518236Mar 7, 2006Paper

An alternative approach in the treatment of Dupuytren's contracture skin defects: first dorsal metacarpal artery island flap

Techniques in Hand & Upper Extremity Surgery
Oguz OzdemirT Ozalp

Abstract

Skin defects are often present following surgery for Dupuytren's contracture. The first dorsal metacarpal artery island flap (FDMA) has been used by others for soft tissue reconstruction about the radial and dorsal aspect of the hand, thumb and fingers. We have used it successfully to fill the skin defects often seen following palmar fasciectomy for Dupuytren's contracture. The thin nature of the flap makes it suitable for this application. The FDMA arises from the radial artery just before the radial artery enters the first dorsal interosseous muscle and divides into three branches: 1 to the thumb, 1 to the index finger (radiodorsal branch) and a muscular branch. It is the radiodorsal branch that supplies the skin over the index finger. The island flap based on this artery includes the dorsal terminal branches of the radial nerve and venae comitantes. The flap is formed to include the fascia of the first dorsal interosseous muscle to avoid injury to a possible deep artery and to yield sufficient fat to promote venous drainage. The flap is passed subcutaneously through the first web space and sutured in place to cover the skin defect in the palm. A full thickness skin graft is used to cover the defect over the proximal phalanx ...Continue Reading

References

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Apr 13, 2006·Techniques in Hand & Upper Extremity Surgery·O OzdemirB Iŝcik

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Citations

Jun 12, 2016·The Journal of Hand Surgery·Erin Anne Miller, Jeffrey Friedrich
Sep 3, 2010·The Journal of Hand Surgery·Sylvan E Clarke, Robert A Kaufmann
Apr 17, 2009·The Journal of Hand Surgery, European Volume·P PelissierV Casoli

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