Dorsal metacarpal flaps

Earley, Michael; Milner, R.H.

doi:10.1016/0007-1226(87)90035-x

Cited by 147 publications

(48 citation statements)

References 14 publications

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“…However, the third and fourth DMAs were not found in 3.8% and 7.7% of cases, respectively [7,8,27,28]. We found the third and fourth DMAs in all cases.…”

Section: Discussioncontrasting

confidence: 48%

“…The reverse-flow DMCA flap has gained great popularity among reconstructive surgeons due to its versatility [7][8][9]12,[18][19][20]. It has a constant anatomy and can better match the contours of the hand [7][8][9][10][11]21,22].…”

Section: Discussionmentioning

confidence: 99%

“…It has a constant anatomy and can better match the contours of the hand [7][8][9][10][11]21,22]. As burn reconstruction purpose, reverse-flow DMCA flaps used in thumb, and index finger [23,24].…”

Section: Discussionmentioning

confidence: 99%

“…The proximally based second DMCA flap was first described in 1987 [7]. Subsequently, reverse flow DMCA flap was described and used in many ways [8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

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The use of reverse-flow dorsal metacarpal artery flaps after postburn metacarpophalangeal joint flexion contracture release

2010

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AbstractWhen thermal injuries of the hand are managed inappropriately, complex hand contractures are inevitable. Patients with hand contractures may have many difficulties in their daily life because of this deformity. These patients are challenging to reconstructive surgeons. In this study we evaluated reverse-flow dorsal metacarpal artery flaps for the defects occurred after metacarpophalangeal joint contracture release of different fingers. Nineteen patients with defects on the volar surface of metacarpophalangeal joint were reconstructed by the reverse-flow dorsal metacarpal artery flaps. All operations were successful and flap losses were not seen. The DMCA flaps provide one stage coverage and permit primary closure of the recipient site. The aesthetic and functional results are satisfactory without sacrificing main arteries. The only drawback is the residual scar on the dorsum of the hand, which can be treated by conservative means and may improve over time.

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“…However, the third and fourth DMAs were not found in 3.8% and 7.7% of cases, respectively [7,8,27,28]. We found the third and fourth DMAs in all cases.…”

Section: Discussioncontrasting

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The proximally based second DMCA flap was first described in 1987 [7]. Subsequently, reverse flow DMCA flap was described and used in many ways [8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The use of reverse-flow dorsal metacarpal artery flaps after postburn metacarpophalangeal joint flexion contracture release

2010

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“…Early and Milner [22] developed a reverse-flow island flap, based on the dorsal metacarpal arteries. This flap includes the whole course of the metacarpal artery; at the proximal end, the artery is ligated.…”

Section: Reverse-flow Dorsal Metacarpal Flapsmentioning

confidence: 99%

Hand Coverage

Martínez¹,

Navarro²,

Navarro³

et al. 2018

Issues in Flap Surgery

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Hand and finger soft tissue defects have always represented a surgical challenge at any accident and emergency department. Techniques may vary from just direct closure of the wound to free tissue transfer. Knowledge of the main locoregional hand flaps is paramount to solve most of the soft tissue defects at this level. Flaps vary depending on their blood supply and design. Their vascularity might be at random, they can be pedicled with anterograde or reversed flow or they can rely on simple or complex free tissue transfer whose blood flow depends on vascular anastomosis. This article reviews all the main soft tissue local or locoregional reconstructive techniques for hands and fingers.

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Microsurgical second dorsal metacarpal artery cutaneous and tenocutaneous flap for distal finger reconstruction: Anatomic study and clinical application

Yuan

Chang

et al. 2005

Microsurgery

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In this paper, we report on the anatomical study of 34 cadaveric forearms with red latex injection and the clinical application of this study to 11 cases of microsurgical second dorsal metacarpal artery (SDMA) flaps. There were 8 cutaneous cases and 3 tenocutaneous cases using SDMA flaps for distal finger reconstruction. The SDMA was classified into 2 types and 4 subtypes according to its anatomical origin and course. Type I (76.5%) originated from the dorsal branch of the radial artery at the snuffbox. Type II (23.5%) originated from the perforating branch of the deep palmar arch at the bases of second and third metacarpal bones. Diameter of the SDMA was 1.2 +/- 0.2 mm at its snuffbox origin, and 1.0 +/- 0.1 mm at the base of the second and third metacarpal bones. Clinically, microsurgical SDMA free flaps were raised and transferred for repair of finger injuries. Ten flaps survived completely. One flap failed due to thrombosis of vascular anastomosis. In conclusion, the second dorsal metacarpal artery is a constant and reliable vessel for microvascular anastomosis in microsurgical SDMA flap transfer. This flap can be used as an alternative for hand and finger reconstruction, and especially repair of a distal phalanx, when either an orthograde or retrograde island SDMA flap is unable to reach the defect.

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Dorsal metacarpal flaps

Cited by 147 publications

References 14 publications

The use of reverse-flow dorsal metacarpal artery flaps after postburn metacarpophalangeal joint flexion contracture release

The use of reverse-flow dorsal metacarpal artery flaps after postburn metacarpophalangeal joint flexion contracture release

Hand Coverage

Microsurgical second dorsal metacarpal artery cutaneous and tenocutaneous flap for distal finger reconstruction: Anatomic study and clinical application

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