Dorsal metacarpal island flap in syndactyly treatment

Annals of Plastic Surgery
Atakan Aydin, Burcu Celet Ozden

Abstract

Web space reconstruction is an important component of syndactyly treatment. There are several methods for a skin graft-free reconstruction. Previously, the dorsal metacarpal island flap based on a direct cutaneous branch of the dorsal metacarpal artery has been used as an island V-Y advancement for web defects in syndactyly. In this study, dorsal metacarpal artery flap was raised similarly as an island but was used instead as a transposition flap in a series of 19 web defects. Early results of a median (range) follow-up of 3 (1-5) years reveal neither recurrence of the deformity nor web creeping. Such utilization of the flap enables a better use of the skin territory proximal to the pedicle and a more comfortable reconstruction of the web space.

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Citations

Sep 23, 2008·Hand : Official Journal of the American Association for Hand Surgery·Ramesh Kumar SharmaAtul Parashar
Oct 31, 2009·La Chirurgia degli organi di movimento·Yakup CilAbdul Kerim Yapici
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Mar 7, 2020·Hand Surgery and Rehabilitation·M Le HanneurF Fitoussi

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