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The reverse dorsal metacarpal flap
1Department of Plastic and Reconstructive Surgery, Toho University Hospital, Tokyo, Japan.
British Journal of Plastic Surgery
|January 1, 1990
Summary
Reverse dorsal metacarpal flaps, based on dorsal metacarpal arteries, offer a reliable vascular supply for covering small hand soft tissue defects. This technique demonstrates significant clinical utility in reconstructive surgery.
Area of Science:
- Hand surgery
- Vascular anatomy
- Reconstructive plastic surgery
Background:
- The dorsal metacarpal vessels form a fascial plexus supplying the dorsum of the hand.
- Effective coverage of soft tissue defects in the hand is crucial for functional recovery.
Purpose of the Study:
- To describe the design and application of reverse dorsal metacarpal flaps.
- To evaluate the reliability and clinical usefulness of this flap for hand defects.
Main Methods:
- Utilized eight reverse dorsal metacarpal flaps.
- Flaps were designed based on the dorsal metacarpal arteries.
- Surgical technique focused on reliable vascular supply for flap survival.
Main Results:
- All eight flaps demonstrated successful survival.
- The flaps provided effective coverage for small soft tissue defects on the dorsum of the hand.
- The vascular basis of the flap was confirmed as reliable.
Conclusions:
- The reverse dorsal metacarpal flap is a viable and reliable option for soft tissue reconstruction in the hand.
- This flap technique offers a dependable solution for covering small defects, utilizing the dorsal metacarpal artery's vascular supply.