PMID: 9422954Jan 10, 1998Paper

Reverse dorsal metacarpal osteocutaneous flap

British Journal of Plastic Surgery
A Santa-CombaJ Rodrigues

Abstract

There are a number of possibilities for local and vascularized bone transfer when a small amount of cortico-cancellous bone is required in the hand and fingers. The authors describe the dissection technique and a clinical application of a reverse dorsal metacarpal osteocutaneous flap to reconstruct the proximal phalanx of a fifth finger. They emphasise the bone vascularisation, studied 48 hours postoperatively with a bone scan and confirmed with bone healing 4 weeks later. The advantages are: it is a compound flap, easy to dissect under tourniquet in one operation, it can be done in an emergency care situation and it does not require ligation of an important vascular axis. The essential precaution is to visualise the patency of the fourth dorsal metacarpal artery before flap dissection, acknowledging that in only 63% of cases is there a vascular pattern that allows flap dissection with a long arc of rotation.

References

Feb 1, 1992·British Journal of Plastic Surgery·G Dautel, M Merle
Aug 1, 1991·British Journal of Plastic Surgery·H CostaJ Amarante
Jan 1, 1990·British Journal of Plastic Surgery·Y Maruyama
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Citations

Apr 10, 2004·Chirurgie de la main·C Fusetti, D R Della Santa
Nov 14, 2000·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J R BenitoJ M Serra
Jul 3, 2003·Annals of Plastic Surgery·Ahmet Cağri UysalOmer Sensöz
Jul 25, 2006·Annals of Plastic Surgery·Kiyoshi Onishi, Yu Maruyama
Jun 17, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Joseph R DusseldorpAlex Phoon
Sep 2, 2006·The Journal of Hand Surgery·Francisco del PiñalLeopoldo Cagigal
May 23, 2006·The Journal of Hand Surgery·Tai-Sik YoonJose M Serra-Renom
Feb 28, 2006·Annales de chirurgie plastique et esthétique·Y K CobanE Cetinus
May 7, 2009·Microsurgery·Zoe H DailianaJames R Urbaniak
Jun 29, 2011·The Journal of Hand Surgery, European Volume·N Dauphin, V Casoli
Jan 30, 2015·Plastic and Reconstructive Surgery·Shady A RehimKevin C Chung
Apr 3, 2018·European Journal of Plastic Surgery·Till WagnerDietmar Ulrich
Nov 28, 2019·Plastic and Reconstructive Surgery. Global Open·Brodie ParentAlexander Spiess
Sep 24, 2004·British Journal of Plastic Surgery·Gunasekar VuppalapatiG Balakrishnan
Oct 5, 2010·The Journal of Hand Surgery·Konstantinos N MalizosMichael Sauerbier

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