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Related Experiment Videos

Radial midpalmar island flap.

Kwang Seog Kim1, Jae Ha Hwang

  • 1Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea. pskim@chonnam.ac.kr

Plastic and Reconstructive Surgery
|October 12, 2005
PubMed
Summary
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A new radial midpalmar island flap provides a reliable option for reconstructing first web space and thumb base defects. This surgical technique offers an alternative for patients where dorsal skin reconstruction is not feasible.

Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • First web space and thumb base defects pose reconstruction challenges.
  • Existing local flaps often originate from dorsal skin, limiting their use in dorsal defects.
  • A need exists for alternative flap options for these specific anatomical areas.

Observation:

  • A radial midpalmar island flap, based on the superficial palmar arch, was developed.
  • The flap was utilized in 15 patients between 1998 and 2003.
  • Flap sizes varied from 2-3 cm in width and 2.5-5 cm in length.

Findings:

  • All flaps demonstrated complete survival.
  • Donor sites were managed with skin grafts (6 patients) or primary closure (9 patients).

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  • Most donor sites healed well, with one requiring a secondary skin graft due to hematoma.

    • Implications:

    • The radial midpalmar island flap is a reliable reconstructive option with careful dissection.
    • This flap serves as a valuable alternative for first web space and thumb base reconstruction in select cases.
    • Further research may explore variations in the vascular pedicle for optimized outcomes.