First dorsal metacarpal artery islanded flap: A useful flap for reconstruction of thumb pulp defects
Thumb pulp defects are commonly due to avulsion injuries. It is very important to reconstruct these defects using sensate flaps as the thumb pulp needs to be sensate for implementing the various functions of the thumb. A very good option for coverage of these defects is the islanded first dorsal met...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2009-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699309 |
| _version_ | 1819088466956255232 |
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| author | Chetan Satish Sunit Nema |
| author_facet | Chetan Satish Sunit Nema |
| author_sort | Chetan Satish |
| collection | DOAJ |
| description | Thumb pulp defects are commonly due to avulsion injuries. It is very important to reconstruct these defects using sensate flaps as the thumb pulp needs to be sensate for implementing the various functions of the thumb. A very good option for coverage of these defects is the islanded first dorsal metacarpal artery flap. Our study was done over a period of 2 years and involved 9 consecutive cases of thumb pulp defects treated at our institution. The patients included 8 males and 1 female, ranging in age from 16 to 51 years old. The flap size ranged from 2 × 1.5 cm to 5 × 3 cm. We had only one complication in the form of partial flap necrosis, which fortunately healed following debridement without the need for a secondary procedure. All our cases were done under local anesthesia with tourniquet control. All the patients had good fine touch and average two-point discrimination of 6 mm, which was satisfactory. Our good results further reinforce the islanded first dorsal metacarpal artery flap as one the best flaps for sensate reconstruction of thumb pulp defects. It replaces the soft tissue loss at the thumb pulp with minimal donor site morbidity and with good return of thumb pulp sensation. |
| first_indexed | 2024-12-21T21:52:30Z |
| format | Article |
| id | doaj.art-9ea0e19c293649739d69aa0a944257ce |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-21T21:52:30Z |
| publishDate | 2009-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-9ea0e19c293649739d69aa0a944257ce2022-12-21T18:49:03ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2009-01-01420103203510.1055/s-0039-1699309First dorsal metacarpal artery islanded flap: A useful flap for reconstruction of thumb pulp defectsChetan Satish0Sunit Nema1Department of Plastic Surgery, K.E.M Hospital, Mumbai - 400 012, IndiaDepartment of Plastic Surgery, K.E.M Hospital, Mumbai - 400 012, IndiaThumb pulp defects are commonly due to avulsion injuries. It is very important to reconstruct these defects using sensate flaps as the thumb pulp needs to be sensate for implementing the various functions of the thumb. A very good option for coverage of these defects is the islanded first dorsal metacarpal artery flap. Our study was done over a period of 2 years and involved 9 consecutive cases of thumb pulp defects treated at our institution. The patients included 8 males and 1 female, ranging in age from 16 to 51 years old. The flap size ranged from 2 × 1.5 cm to 5 × 3 cm. We had only one complication in the form of partial flap necrosis, which fortunately healed following debridement without the need for a secondary procedure. All our cases were done under local anesthesia with tourniquet control. All the patients had good fine touch and average two-point discrimination of 6 mm, which was satisfactory. Our good results further reinforce the islanded first dorsal metacarpal artery flap as one the best flaps for sensate reconstruction of thumb pulp defects. It replaces the soft tissue loss at the thumb pulp with minimal donor site morbidity and with good return of thumb pulp sensation.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699309first dorsal metacarpal artery flapthumb pulp defectsensate flap |
| spellingShingle | Chetan Satish Sunit Nema First dorsal metacarpal artery islanded flap: A useful flap for reconstruction of thumb pulp defects Indian Journal of Plastic Surgery first dorsal metacarpal artery flap thumb pulp defect sensate flap |
| title | First dorsal metacarpal artery islanded flap: A useful flap for reconstruction of thumb pulp defects |
| title_full | First dorsal metacarpal artery islanded flap: A useful flap for reconstruction of thumb pulp defects |
| title_fullStr | First dorsal metacarpal artery islanded flap: A useful flap for reconstruction of thumb pulp defects |
| title_full_unstemmed | First dorsal metacarpal artery islanded flap: A useful flap for reconstruction of thumb pulp defects |
| title_short | First dorsal metacarpal artery islanded flap: A useful flap for reconstruction of thumb pulp defects |
| title_sort | first dorsal metacarpal artery islanded flap a useful flap for reconstruction of thumb pulp defects |
| topic | first dorsal metacarpal artery flap thumb pulp defect sensate flap |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699309 |
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