The evolution and refinements of the distally based dorsal metacarpal artery (DMCA) flaps

Gregory, H. v; Heitmann, Christoph; Germann, Günter

doi:10.1016/j.bjps.2007.03.011

Cited by 49 publications

(50 citation statements)

References 34 publications

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“…However, the third and fourth DMAs were not found in 3.8% and 7.7% of cases, respectively [7,8,27,28]. We found the third and fourth DMAs in all cases.…”

Section: Discussioncontrasting

confidence: 48%

The use of reverse-flow dorsal metacarpal artery flaps after postburn metacarpophalangeal joint flexion contracture release

2010

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AbstractWhen thermal injuries of the hand are managed inappropriately, complex hand contractures are inevitable. Patients with hand contractures may have many difficulties in their daily life because of this deformity. These patients are challenging to reconstructive surgeons. In this study we evaluated reverse-flow dorsal metacarpal artery flaps for the defects occurred after metacarpophalangeal joint contracture release of different fingers. Nineteen patients with defects on the volar surface of metacarpophalangeal joint were reconstructed by the reverse-flow dorsal metacarpal artery flaps. All operations were successful and flap losses were not seen. The DMCA flaps provide one stage coverage and permit primary closure of the recipient site. The aesthetic and functional results are satisfactory without sacrificing main arteries. The only drawback is the residual scar on the dorsum of the hand, which can be treated by conservative means and may improve over time.

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“…However, the third and fourth DMAs were not found in 3.8% and 7.7% of cases, respectively [7,8,27,28]. We found the third and fourth DMAs in all cases.…”

Section: Discussioncontrasting

confidence: 48%

The use of reverse-flow dorsal metacarpal artery flaps after postburn metacarpophalangeal joint flexion contracture release

2010

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“…All total losses occurred in hand infections, therefore it is not recommended in this scenario. No difference in outcomes between fl aps raised on the radial or ulnar side of the hand, as long as the perforating vessel was present on Doppler [ 44 ]. In volar fi nger injuries numerous fl aps can be used.…”

Section: Discussionmentioning

confidence: 92%

Soft Tissue Cover of the Hand

2014

Disorders of the Hand

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“…İnterdigital pilonidal sinüsün cerrahi tedavisi eksizyon ve primer kapamadan, eksizyon sonrası flep ile kapamaya kadar geniş bir yelpazeyi içermektedir (8,9). Bizim olgumuzda ise interdigital bölgede rekürren apse atakları geçiren hastada, lezyonun eksize edildiği bölgede mevcut olan inflamasyon bulguları nedeniyle eksizyon sonrasında oluşan defektin sekonder iyileşme ile kapanması tercih edilmiştir.…”

Section: Discussionunclassified