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Updated: Jan 3, 2026
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Procurement and Perfusion-Decellularization of Porcine Vascularized Flaps in a Customized Perfusion Bioreactor
Published on: August 1, 2022
3.2K
Flaps Based on the Dorsal Metacarpal Artery
Nicholas Webster1, Michel Saint-Cyr1
1Department of Surgery, Division of Plastic Surgery, Baylor Scott and White, 2401 South 31st Street, Temple, TX 76508, USA.
Hand Clinics
|November 24, 2019
Summary
Dorsal metacarpal artery flaps, including reverse flow variations, offer versatile solutions for hand reconstruction. These vascularized tissue flaps provide excellent coverage for digits with minimal donor site morbidity.
Area of Science:
- Plastic Surgery
- Hand Surgery
- Vascular Anatomy
Background:
- Dorsal metacarpal artery flaps have undergone significant evolution since their inception.
- Advances in vascular anatomy knowledge have expanded their applications.
Purpose of the Study:
- To review the historical development of dorsal metacarpal artery flaps.
- To detail the anatomy, indications, and surgical techniques of these versatile flaps.
Main Methods:
- Literature review of dorsal metacarpal artery flap evolution.
- Analysis of anatomical variations and surgical modifications.
- Review of clinical indications and outcomes.
Main Results:
- Dorsal metacarpal artery flaps have evolved from early transposition flaps to include reverse flow techniques.
- These flaps provide reliable vascularized tissue for digit coverage.
- Associated techniques allow for simultaneous harvest of veins, bone, and tendon.
Conclusions:
- Dorsal metacarpal artery flaps represent a significant advancement in reconstructive surgery of the hand.
- Their numerous permutations offer tailored solutions for diverse clinical scenarios.
- Continued understanding of hand vascularity enhances flap versatility and patient outcomes.
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