The distally-based dorsal hand flap

Quaba, A.A.; Davison, Paul

doi:10.1016/0007-1226(90)90042-x

Cited by 225 publications

(146 citation statements)

References 13 publications

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“…Figure 4 The flap was able to be easily rotated 180°into the defect without kinking. defects on the dorsum of the hand and fingers to the PIP joint, as well as, the distal palm and web spaces [9]. The Quaba flap, as originally described, is based on the cutaneous branches of the DMA.…”

Section: Origins Of the Quaba Flapmentioning

confidence: 99%

The Dorsal Metacarpal Artery Perforator Flap: A Case Report Utilizing a Quaba Flap Harvested from a Previously Skin-Grafted Area for Dorsal 5th Digit Coverage

Bailey

Andry

Saint-Cyr

2010

Hand (New York, N,Y.)

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Burns to the hand are common in burn victims. These burns often leave complex wounds that require local flaps for coverage. Local flaps are often excluded because they lie within the zone of thermal injury. The purpose of this case report is to report the successful use of a Quaba flap harvested from a previously burned and skin-grafted area. The patient's medical record including pre-operative, intra-operative, and post-operative photographs were reviewed and utilized as sources of data. The patient tolerated the procedure well and was able to return to his previous hand therapy regimen without adverse event and with an acceptable cosmetic result. The Quaba flap can be a safe and effective option for local hand coverage even in previously burned and skin-grafted areas.

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Section: Origins Of the Quaba Flapmentioning

confidence: 99%

The Dorsal Metacarpal Artery Perforator Flap: A Case Report Utilizing a Quaba Flap Harvested from a Previously Skin-Grafted Area for Dorsal 5th Digit Coverage

Bailey

Andry

Saint-Cyr

2010

Hand (New York, N,Y.)

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“…As these run distally, these are either supplemented or replaced by the perforators from the deep palmar arch or palmar metacarpal arteries [2,3,13]. Additional perforator links between palmar and dorsal system are known to exist in the web spaces [3].…”

Section: Blood Supply Of the Flapmentioning

confidence: 99%

“…Anatomically, three types of anastomosis have been described on the arterial system of fingers [3,13,16]:…”

Section: Blood Supply Of the Flapmentioning

confidence: 99%

“…& Direct anastomosis between the dorsal metacarpal artery and the palmar metacarpal artery by a perforator at the distal margin of the interosseous muscle & Indirect anastomosis between the terminal branch of the dorsal metacarpal artery and dorsal cutaneous branches of digital artery at proximal phalanx level & Deep anastomosis-the ring of vessels around the neck of metacarpals contributed by the dorsal metacarpal artery and the palmar metacarpal artery Thus, in the web space and around the proximal part of the proximal phalanx, many consistent perforating vessels are present on which this flap is based [3,13,16] (Fig. 4).…”

Section: Blood Supply Of the Flapmentioning

confidence: 99%

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End-of-Skin Grafts in Syndactyly Release: Description of a New Flap for Web Space Resurfacing and Primary Closure of Finger Defects

Sharma

Tuli

Makkar

et al. 2008

Hand (New York, N,Y.)

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Treatment of syndactyly necessitates creation of neo-web space and separation of fingers. Traditionally, this has been done by use of flaps taken from the dorsum; the resultant raw areas thus created have been managed by use of skin grafts. The classical teaching has been that the separated fingers will need skin graft as primary closure is not possible. The skin grafts have a tendency to contract and lead to finger flexion contractures and "creep" of the web space. We describe a flap based upon subcutaneous tissue in the web that is moved in a V-Y fashion to resurface the neo-web. The flap donor site can easily be closed primarily. The fingers are then separated; the subcutaneous fat is carefully removed from the finger flaps under magnification to allow primary closure of the finger defects. It has been possible to primarily close the donor site and fingers in all the patients. The procedure has been used in seven patients with 14 web releases. The age varied between 10 months to 3 years. The V-Y advancement flap based upon the subcutaneous pedicle in the region of the web allows adequate creation of a new web space. The careful de-fattening of skin flaps allows the separated fingers to be closed primarily.

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“…37 In such cases, syndactylisation and distant flap cover is appropriate, although cover is achieved by this technique at the expense of the ability to mobilise the fingers individually, depending on the specific injuries of each digit. Single finger injuries with this degree of soft tissue loss extending across two or three phalangeal segments of the digit can usually be reconstructed by use of a de-epithelialised cross-finger flap, 38 a reverse dorsal metacarpal artery flap [39][40][41] or a reverse posterior interosseous artery flap. [42][43] Deepithelialised cross-finger flaps may also be useful for larger proximal-phalanx defects in which injury to the dorsum of the hand precludes the use of the reverse dorsal metacarpal artery group of flaps.…”

Section: Reconstruction Of the Dorsal Surfacementioning

confidence: 99%

Homodigital Reconstruction of the Digits - The Perspective of One Unit

Elliot

Yii²

2001

Handchir Mikrochir plast Chir

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Over a period of twelve years, a strategy of reconstruction of digital injuries has been evolved in our unit which now allows us to reconstruct most defects of the digits with more predictable and, hopefully, better results than in the 1980s. This policy includes much of the philosophy and techniques of earlier and contemporary surgeons, with local modifications which we believe are improvements of the earlier techniques and a few new procedures. Wherever possible, the extraordinary capacity of the digital skin to regenerate has been exploited and homodigital techniques of reconstruction are used to limit the total injury of the trauma and reconstruction to the damaged digit. The techniques which we currently use are summarised in this article.

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The distally-based dorsal hand flap

Cited by 225 publications

References 13 publications

The Dorsal Metacarpal Artery Perforator Flap: A Case Report Utilizing a Quaba Flap Harvested from a Previously Skin-Grafted Area for Dorsal 5th Digit Coverage

The Dorsal Metacarpal Artery Perforator Flap: A Case Report Utilizing a Quaba Flap Harvested from a Previously Skin-Grafted Area for Dorsal 5th Digit Coverage

End-of-Skin Grafts in Syndactyly Release: Description of a New Flap for Web Space Resurfacing and Primary Closure of Finger Defects

Homodigital Reconstruction of the Digits - The Perspective of One Unit

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