RSS-Feed abonnieren
DOI: 10.1055/s-0038-1675369
The First Dorsal Metacarpal Artery Flap Family: A Review
Publikationsverlauf
15. Mai 2018
17. September 2018
Publikationsdatum:
29. Oktober 2018 (online)
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.
-
References
- 1 Sherif MM. First dorsal metacarpal artery flap in hand reconstruction. I. Anatomical study. J Hand Surg Am 1994; 19 (01) 26-31
- 2 Murakami T, Takaya K, Outi H. The origin, course and distribution of arteries to the thumb, with special reference to the so-called A. princeps pollicis. Okajimas Folia Anat Jpn 1969; 46 (02) 123-137
- 3 Tellioglu AT, Sensöz O. The dorsal branch of the digital nerve: an anatomic study and clinical applications. Ann Plast Surg 1998; 40 (02) 145-148
- 4 Tränkle M, Sauerbier M, Heitmann C, Germann G. Restoration of thumb sensibility with the innervated first dorsal metacarpal artery island flap. J Hand Surg Am 2003; 28 (05) 758-766
- 5 Chen C, Zhang X, Shao X, Gao S, Wang B, Liu D. Treatment of thumb tip degloving injury using the modified first dorsal metacarpal artery flap. J Hand Surg Am 2010; 35 (10) 1663-1670
- 6 Couceiro J, Sanmartín M. The Holevich flap revisited: a comparison with the Foucher flap, case series. Hand Surg 2014; 19 (03) 469-474
- 7 Holevich J. A new method of restoring sensibility to the thumb. J Bone Joint Surg Br 1963; 45: 496-502
- 8 Foucher G, Braun JB. A new island flap transfer from the dorsum of the index to the thumb. Plast Reconstr Surg 1979; 63 (03) 344-349
- 9 Yao JM, Song JL, Xu JH. The second web bilobed island flap for thumb reconstruction. Br J Plast Surg 1996; 49 (02) 103-106
- 10 Couceiro J, De la Red-Gallego M, Yeste L. , et al. The Bilobed Racquet Flap or Extended Seagull Flap for Thumb Reconstruction: A Case Report. J Hand Surg Asian Pac Vol 2018; 23 (01) 128-131
- 11 El-Khatib HA. Clinical experiences with the extended first dorsal metacarpal artery island flap for thumb reconstruction. J Hand Surg Am 1998; 23 (04) 647-652
- 12 Muyldermans T, Hierner R. First dorsal metacarpal artery flap for thumb reconstruction: a retrospective clinical study. Strateg Trauma Limb Reconstr 2009; 4 (01) 27-33
- 13 Zhang X, Shao X, Ren C, Zhang Z, Wen S, Sun J. Reconstruction of thumb pulp defects using a modified kite flap. J Hand Surg Am 2011; 36 (10) 1597-1603