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Related Experiment Video

Updated: Jun 25, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
04:08

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Neurocutaneous metacarpal flaps.

M Kateva1, K Dimitrov

  • 1Pirogov Hospital for Emergency Medicine, Hand Surgery Department, Sofia, Bulgaria. mkateff@yahoo.com

Acta Chirurgiae Plasticae
|March 7, 2009
PubMed
Summary
This summary is machine-generated.

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This study explores using a hand-based fasciocutaneous flap for finger skin defects. This technique offers a viable reconstructive option for complex digital injuries.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Hand Surgery

Background:

  • Large skin defects on fingers pose significant reconstructive challenges.
  • Traditional methods may have limitations in achieving optimal functional and aesthetic outcomes.

Observation:

  • A fasciocutaneous flap, based on a sensory nerve branch and its paraneural tissue from the dorsum of the hand, was utilized.
  • The flap's vascularity is supported by the para- and intraneural vascular network and anastomoses between dorsal and volar arterial systems.

Findings:

  • The fasciocutaneous flap successfully covered a large skin defect on the radial side of the index finger.
  • This flap design leverages reliable vascular supply for tissue survival.

Implications:

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Last Updated: Jun 25, 2026

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  • This technique presents a promising solution for finger reconstruction, potentially improving patient outcomes.
  • Further studies can explore the long-term efficacy and versatility of this flap in various digital defect scenarios.