Abstract
Deep soft tissue injuries around the thumb can severely hinder hand function if not
treated correctly. Many different surgical options have been described for the treatment
of these serious lesions, including microsurgical flaps, such as toe to hand flaps,
local flaps, and distant pedicled flaps. The first dorsal metacarpal artery family
of flaps belongs to this last category. These flaps can be performed in different
ways, as a racquet, as an island flap, and as a bilobed flap including the second
metacarpal artery, among others.
The aim of the following article is to review the basic concepts involved in the use
of these flaps in reconstructive hand surgery.
Keywords
first dorsal metacarpal artery - FDMA flap - thumb trauma - thumb recosntruction
