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Reverse dorsometacarpal flap in digits and web-space reconstruction
1Linkou Burn Center, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
Annals of Plastic Surgery
|September 1, 1994
Summary
The reverse dorsometacarpal flap offers a reliable solution for challenging digit skin reconstructions. This versatile flap addresses defects in difficult areas and contractures, simplifying complex surgical cases.
Area of Science:
- Plastic Surgery
- Hand Surgery
- Reconstructive Surgery
Background:
- Reconstructing skin defects in specific digit areas poses significant challenges for surgeons.
- Difficult areas include the ulnar aspect of the little/ring finger, radial aspect of the index finger, and digits with joint involvement.
- Web space contractures and multiple finger injuries further complicate reconstruction when traditional flaps are unavailable.
Observation:
- The reverse dorsometacarpal flap is identified as a viable reconstructive option.
- This flap is noted for its reliability and versatility in surgical design.
- Primary closure of the donor site is feasible for flaps under 2 cm in width.
Findings:
- The reverse dorsometacarpal flap effectively addresses previously difficult-to-reconstruct digit skin defects.
- It provides a versatile solution for complex hand injuries, including contractures and multiple digit trauma.
- The flap's design allows for primary donor site closure in many cases, improving patient outcomes.
Implications:
- This flap expands the reconstructive surgeon's armamentarium for challenging hand and digit injuries.
- It offers a reliable and versatile alternative, potentially reducing the need for more complex procedures.
- The technique may lead to improved functional and aesthetic outcomes in digit reconstruction.