Publication details

The proximal first dorsal metacarpal artery free flap for reconstruction of complex digital defects

Authors

HÝŽA Petr KUBEK Tomáš VESELÝ Jiří DRAŽAN Luboš CHOUDRY U.

Year of publication 2013
Type Article in Periodical
Magazine / Source JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
MU Faculty or unit

Faculty of Medicine

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.

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