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The distally-based dorsal hand flap.

A A Quaba1, P M Davison

  • 1Lothian Plastic and Oral Surgery Service, Bangour General Hospital, Broxburn.

British Journal of Plastic Surgery
|January 1, 1990
PubMed
Summary
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A novel reverse dorsal hand flap, based on the dorsal metacarpal artery, offers effective resurfacing for hand defects. This island flap demonstrated reliable behavior, similar to conventional axial pattern flaps in clinical use.

Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Microsurgery

Background:

  • Reconstructive surgery of the hand presents unique challenges.
  • Defects in the web spaces and dorsal aspects of the hand require specialized flap techniques.
  • Limited options exist for reliable resurfacing of metacarpal and phalangeal skin defects.

Purpose of the Study:

  • To describe the planning and clinical applications of a new reverse dorsal hand flap.
  • To evaluate the utility of this flap for resurfacing specific hand defects.
  • To assess the behavior and reliability of this flap design.

Main Methods:

  • A series of reverse dorsal hand flaps were designed and raised as islands.
  • The flap's base was identified as a direct cutaneous branch of the dorsal metacarpal artery.

Related Experiment Videos

  • Clinical applications and outcomes of 21 flaps were documented.

    • Main Results:

    • The reverse dorsal hand flap proved effective for resurfacing web spaces.
    • It was also successful in addressing dorsal metacarpal and phalangeal skin defects.
    • All 21 island flaps behaved consistently, mimicking conventional axial pattern flaps.

    Conclusions:

    • The described reverse dorsal hand flap is a valuable addition to reconstructive hand surgery.
    • Its reliable performance makes it suitable for various dorsal hand and digit defects.
    • This technique offers a predictable option for plastic surgeons managing hand injuries.