Application of the Dorsal Metacarpal Artery Perforator Flap for Resurfacing Soft-Tissue Defects Proximal to the Fingertip

Sebastin, Sandeep J.; Mendoza, Romina Torres; Chong, Alphonsus K.S.; Peng, Yeong-Pin; Ono, Shimpei; Chung, Kevin C.; Lim, Aymeric

doi:10.1097/prs.0b013e318221ddfa

Cited by 60 publications

(82 citation statements)

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“…62 The authors preferred using a flap based on the main palmar-dorsal perforator (as described by Quaba & Davison, Fig. 5) because of perforator constant anatomy as compared to the DMCA and larger caliber as opposed to the more distal dorso-palmar finger perforators.…”

Section: Fingersmentioning

confidence: 99%

Enhancing Aesthetic Outcomes of Soft-Tissue Coverage of the Hand

Rehim

Kowalski

Chung

2015

Plastic and Reconstructive Surgery

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Hand aesthetics in general and aesthetic refinements of soft-tissue coverage of the hand in particular have been increasingly considered over the past few years. Advancements of microsurgery together with the traditional methods of tissue transfer have expanded the armamentarium of the reconstructive surgeon, thus shifting the reconstructive paradigm from simply ‘filling the defect’ to reconstructive refinement to provide the best functional and aesthetic results. However, drawing the boundary between what does and what does not constitute ‘aesthetic’ reconstruction of the hand is not straightforward. The selection amongst the vast amount of currently available reconstructive methods and the difficulties in objectively measuring or quantifying aesthetics has made this task complex and rather arbitrary. In this article we divide the hand into several units and subunits to simplify our understanding of the basic functional and aesthetic requirements of these regions that may ultimately bring order to complexity.

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Section: Fingersmentioning

confidence: 99%

Enhancing Aesthetic Outcomes of Soft-Tissue Coverage of the Hand

Rehim

Kowalski

Chung

2015

Plastic and Reconstructive Surgery

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“…In our series, recovery of sensation in the ap was measured using a static 2-point discrimination (2-PD) test [20]. On an average, there was no signi cant difference between the uninjured cases in the two groups (p = 0.414), both of which were better than the injured cases (P < 0.05).…”

Section: Discussionmentioning

confidence: 92%

Treatment of Defects on the Volar Surface of the Finger using the Dorsal Digital–metacarpal Flap Versus the Free Medial Plantar Artery Flap: A Comparative Study

Liu¹,

Guo²,

Qu³

et al. 2020

Preprint

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Background Few cases are reported on the treatment of defects on the volar surface of the finger, and its utility for digital resurfacing remains unclear. This study compared the outcomes of the free medial plantar artery flap (MPAF) and dorsal digital–metacarpal flap (DDMF) in finger reconstruction. Methods This cohort study was conducted on 24 patients who had soft-tissue defects on the volar side of the finger from March 2014 to March 2017. The patients were divided into the following 2 groups: the MPAF group and the DDMF group. The operative time as well as complications, including flap necrosis, graft loss, infection, paresthesia, donor-site morbidity, and two-point discrimination (2-PD) were carefully recorded. The Michigan Hand Outcomes Questionnaire (MHQ) was applied to conduct follow-up assessment. Results After more than 12 months of follow-up, the results were significant. In terms of overall function, MPAF was superior to DDMF (p < 0.005). Conclusion The MPAF and the DDMF are available and reliable for reconstruction of the volar surface of the finger; however, the MPAF offers better functional outcomes with a lower frequency of postoperative complications.

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“…The boundaries of the flap extends between the distal edge of the extensor retinaculum proximally and the MCP joint distally and the outer borders of the adjoining metacarpals on either side. 38 The flap is harvested from proximal to distal, raising the skin flap above the paratenon of the underlying extensor tendon. The pedicle is traced along the course of the perforator that usually arises immediately distal to the juncturae tendinum at the interdigital space.…”

Section: The Dorsal Metacarpal Artery Flapmentioning

confidence: 99%

“…Since a perforator arising from the deep palmar arch directly nourishes this flap, its attachment with dorsal metacarpal artery can be carefully divided to allow a greater advancement of the flap. 38 …”

Section: The Dorsal Metacarpal Artery Flapmentioning

confidence: 99%

Local Flaps of the Hand

Rehim¹,

Chung²

2014

Hand Clinics

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Synopsis A local flap consists of skin and subcutaneous tissue that is harvested from a site nearby a given defect while maintaining its intrinsic blood supply. When a soft tissue defect of the hand is not amenable to primary closure or skin grafting, local skin flaps can be a used as a reliable source of soft tissue replacement that replaces like with like. Flaps are categorized based on their composition, method of transfer, flap design and blood supply, yet flap circulation is considered the most critical factor for the flap survival. This article reviews the classification of local skin flaps of the hand and offers a practical reconstructive approach for several soft tissue defects of the hand and digits.

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Application of the Dorsal Metacarpal Artery Perforator Flap for Resurfacing Soft-Tissue Defects Proximal to the Fingertip

Abstract: Therapeutic, IV.

Cited by 60 publications

References 0 publications

Enhancing Aesthetic Outcomes of Soft-Tissue Coverage of the Hand

Enhancing Aesthetic Outcomes of Soft-Tissue Coverage of the Hand

Treatment of Defects on the Volar Surface of the Finger using the Dorsal Digital–metacarpal Flap Versus the Free Medial Plantar Artery Flap: A Comparative Study

Local Flaps of the Hand

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