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Publication details
The proximal first dorsal metacarpal artery free flap for reconstruction of complex digital defects
Authors | |
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Year of publication | 2013 |
Type | Article in Periodical |
Magazine / Source | JOURNAL OF HAND SURGERY-EUROPEAN VOLUME |
MU Faculty or unit | |
Citation | |
Doi | http://dx.doi.org/10.1177/1753193412467165 |
Field | Traumatology and orthopaedic surgery |
Keywords | First dorsal metacarpal artery flap; free flap; kite flap; digital defect; complex hand trauma |
Description | We describe our experience and outcome with the 'Proximal first dorsal metacarpal artery free flap'. Ten consecutive cases utilizing the proximal first dorsal metacarpal artery free flap for complex digital defects were studied. Surgical technique, patient demographics, and flap outcome data were collected. Patient satisfaction was analysed using a questionnaire. All defects healed successfully with no loss of free flaps. The short-pedicle proximal first dorsal metacarpal artery free flap enables primary closure of the donor site up to 2 cm of width (in nine of the ten donor sites). The flap is a reliable and versatile alternative in selected cases of complex digital injuries. |