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Related Experiment Videos

A dynamic myocutaneous flap for hand reconstruction

R A Chase, V R Hentz, D Apfelberg

    The Journal of Hand Surgery
    |November 1, 1980
    PubMed
    Summary

    The dynamic myocutaneous flap, transferring the abductor digiti quinti muscle and skin, enables reconstruction in hand surgery. This technique successfully restored function and skin cover after arteriovenous malformation resection.

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    Area of Science:

    • Reconstructive surgery
    • Plastic surgery
    • Hand surgery

    Background:

    • Neurovascular pedicle transfer and myocutaneous flaps are established reconstructive techniques.
    • The dynamic myocutaneous flap represents an advancement, combining muscle and skin transfer.
    • This technique utilizes the neurovascular bundle for flap viability.

    Observation:

    • Injection studies confirmed the viability of transferring the abductor digiti quinti muscle and overlying hypothenar skin.
    • The neurovascular bundle supports the transferred tissue.
    • The flap was successfully used in a clinical case.

    Findings:

    • A dynamic myocutaneous flap successfully reconstructed skin cover and functional opposition.
    • The flap was used following resection of a thumb arteriovenous malformation.
    • This technique is a viable option for complex hand reconstructions.

    Implications:

    • The dynamic myocutaneous flap offers a new option for reconstructing defects in the hand.
    • Potential applications include defects from electrical burns, avulsions, or tumor resections.
    • This technique expands the versatility of myocutaneous flaps in reconstructive surgery.

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