Re: The reverse dorsal metacarpal artery flap in finger reconstruction: A reliable choice

Jain, Leena; Kumta, Samir; Purohit, Shrirang

doi:10.4103/ijps.ijps_165_18

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…There are several designs in which it can be performed, including cutaneous pedicled, subcutaneous tunnelled, and propeller flap techniques. The thin characteristic of the dorsal hand skin naturally provides an additional advantage for the RDMA flap over other choices for dorsal finger reconstruction [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Extensive research has been conducted on the arterial anatomy of the dorsal finger and hand. The first and second dorsal metacarpal arteries have their origin from the radial artery and the dorsal metacarpal arch, while the remaining arteries originate from the communicating branch of the palmar arteries at the metacarpal base [ 9 ]. Complications related to this type of surgery may present as venous congestion or arterial insufficiency [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

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Reverse dorsoradial metacarpal artery flap for reconstruction of large finger skin defect: A case report

Hariyono,

Wiramur,

Sungkar

et al. 2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Reverse dorsoradial metacarpal artery flap for reconstruction of large finger skin defect: A case report

Hariyono,

Wiramur,

Sungkar

et al. 2023

International Journal of Surgery Case Reports

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“…The proximal extent of dissection is up to the metacarpal neck where the perforator is visualized and preserved. When the proximal dissection is carried up to the webspace perforator that is preserved, the flap is known as the ERDMA flap [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Dorsal Metacarpal Artery Flap: An Underrated Workhorse Flap for Reconstruction of Dorsal Finger Defects

Alexander¹

2020

Cureus

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The dorsal metacarpal artery (DMCA) flap is a versatile option in the armamentarium of the reconstructive hand surgeon, especially for resurfacing dorsal finger defects where the flap options are limited. The flap fulfills most of the reconstructive principles such as “to replace like with like” and is simple, reliable, and easy to harvest with minimal donor site morbidity. In this report, we discuss the case of a 37-year-old male patient who presented with a partially healed wound over the right middle finger. Several variations of the DMCA flap have been described in the literature, and these are briefly described here along with their applications and vascular basis.

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Dorsal Carpal Artery Perforator Flaps

Singh,

Dixit,

Kala

et al. 2024

Ann Plast Surg

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Background Hand injuries pose challenges due to complexity and aesthetic–functional concerns. Dorsum of hand injuries are difficult to treat due to thin skin cover and increased propensity to exposure of underlying structures. Perforator-based flaps can provide better outcomes with minimal donor site morbidity. This study aims to bridge the gap in anatomical knowledge and explore the potential benefits of dorsal carpal artery perforator flap. Materials and Methods A prospective study was done from July 2021 to June 2023, focused on study of dorsal carpal artery perforators on 12 fresh frozen cadaveric hands. Anatomical study involved injection of red latex into arteries at the wrist, followed by dissection and measurements. During the clinical phase, we used the inferences gained from the anatomical study to identify and mark perforator of dorsal carpal arteries. We performed V-Y advancement flap based on the DCPs in 5 patients who had dorsum of hand defects due to trauma. Results The study was carried out on 6 fresh frozen cadavers (12 hands). Anatomical findings revealed the anatomical location, caliber, and consistent number of dorsal carpal artery perforators supplying the dorsum of the hand arranged in 2 rows. Clinically, we applied this insight to create V-Y flaps in 5 patients with successful outcomes, thus, offering DCP-based flap as an alternative to distant flaps. Conclusion DCP-based flaps offer an efficient solution for reconstructing proximal hand defects over the dorsum, with minimal complications, enhancing our understanding of hand reconstruction options. The study's comprehensive anatomical insights and clinical outcomes contribute to improving hand defect management and surgical techniques

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Re: The reverse dorsal metacarpal artery flap in finger reconstruction: A reliable choice

Cited by 3 publications

References 3 publications

Reverse dorsoradial metacarpal artery flap for reconstruction of large finger skin defect: A case report

Reverse dorsoradial metacarpal artery flap for reconstruction of large finger skin defect: A case report

Dorsal Metacarpal Artery Flap: An Underrated Workhorse Flap for Reconstruction of Dorsal Finger Defects

Dorsal Carpal Artery Perforator Flaps

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