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Journal

2010 | 5 | 2 | 159-164

Article title

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

Content

Title variants

Languages of publication

EN

Abstracts

EN
When 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.

Publisher

Journal

Year

Volume

5

Issue

2

Pages

159-164

Physical description

Dates

published
1 - 4 - 2010
online
17 - 4 - 2010

Contributors

author
  • Department of Plastic and Reconstructive Surgery and Burn Unit, Gülhane Military Medical Academy and Medical Faculty, Haydarpşa Training Hospital, 34 668, Istanbul, Turkey
author
  • Department of Plastic and Reconstructive Surgery and Burn Unit, Gülhane Military Medical Academy and Medical Faculty, Haydarpşa Training Hospital, 34 668, Istanbul, Turkey
author
  • Department of Plastic and Reconstructive Surgery and Burn Unit, Gülhane Military Medical Academy and Medical Faculty, Haydarpşa Training Hospital, 34 668, Istanbul, Turkey

References

  • [1] Huang T., Management of contractural deformities involving the axilla, elbow, hip, and knee joints in burned patients, Total Burn Care, Saunders Elsevier, 2007, 727–740
  • [2] Cronin T.D., The cross-finger flap. A new method of repair, Am. Surg., 1951, 17, 419–25
  • [3] Foucher G.D., Braun J.B., A new island flap transfer from the dorsum of the index to the thumb, Plast. Reconstr. Surg., 1979, 63, 344–9 http://dx.doi.org/10.1097/00006534-197903000-00008[Crossref]
  • [4] Acikel C., Peker F., Yuksel F., Bilateral side finger transposition flaps in the treatment of chronic postburn flexion contractures of the fingers, Ann. Plast. Surg., 2002, 49, 344–9 http://dx.doi.org/10.1097/00000637-200210000-00002[Crossref]
  • [5] Ulkur E., Uygur F., Karagoz H., Celikoz B., Flap Choices to Treat Complex Severe Postburn Hand Contracture, Ann. Plast. Surg., 2007, 58, 479–483 http://dx.doi.org/10.1097/01.sap.0000244973.72940.e3[Crossref][WoS]
  • [6] Bostwick J., Briedis J., Jurkiewicz M.J., The reverse flow temporal artery island flap, Clin. Plast. Surg., 1976, 3, 441–445
  • [7] Earleyy M., Milner R., Dorsal metacarpal flaps., Br. J. Plast. Surg., 1987, 40, 333–41 http://dx.doi.org/10.1016/0007-1226(87)90035-X[Crossref]
  • [8] Dautel G., Merle M., Dorsal metacarpal reverse flaps. Anatomical basis and clinical application, J. Hand Surg., 1991, 16, 400–5
  • [9] Maryuama Y., The reverse dorsal metacarpal flap., Br. J. Plast. Surg., 1990, 43, 24–7 http://dx.doi.org/10.1016/0007-1226(90)90041-W[Crossref]
  • [10] Germann G., Funk H., Bickert B., The fate of the dorsal metacarpal arterial system following thermal injury to the dorsal hand: A doppler sonographic study, J. Hand Surg., 2000, 25, 962–8 http://dx.doi.org/10.1053/jhsu.2000.8638[Crossref]
  • [11] Pelissier P., Casoli V., Backhach J., Martin D., Baudet J., Reverse dorsal digital and metacarpal flaps: a review of 27 cases, Plast. Reconstr. Surg., 1999, 103, 159–65 http://dx.doi.org/10.1097/00006534-199901000-00025[Crossref]
  • [12] Yang D., Morris S.F., Reversed dorsal digital and metacarpal island flaps supplied by the dorsal cutaneous branches of the palmar digital artery, Ann. Plast. Surg., 2001, 46, 444–9 http://dx.doi.org/10.1097/00000637-200104000-00017[Crossref]
  • [13] Harrison D.H., Newton J., Two flaps to resurface the basal flexion-crease of the finger area, J. Hand Surg. (Br)., 1991, 16, 78–83
  • [14] Ulkur E., Uygur F., Karagöz H., Celiköz B., Use of free dorsoulnar perforator flap in the treatment of postburn contractures of the fingers Burns, 2006, 32, 770–5 http://dx.doi.org/10.1016/j.burns.2006.01.020[Crossref]
  • [15] Uygur F., Duman H., Celiköz B., Use of free anterolateral thigh perforator flap in the treatment of chronic postburn palmar contractures, Burns, 2007, 34, 275–280 http://dx.doi.org/10.1016/j.burns.2006.10.403[WoS][Crossref]
  • [16] Uygur F., Duman H., Ülkür E., Celiköz B., Chronic Postburn Palmar Contractures Reconstruction Using The Medial Pedis Perforator Flap, Ann. Plast. Surg. 2008, 61, 269–273 http://dx.doi.org/10.1097/SAP.0b013e31815bf323[WoS][Crossref]
  • [17] Uygur F., Sever C., Evinç R., Ulkür E., Duman H. Reverse flow flap use in upper extremity burn contractures. Burns. 2008 Sep 18 [Epub ahead of print] [WoS][Crossref]
  • [18] Yousif N.J., Ye Z., Sanger J.R., Arria P., Gilbert A., Matloub H.S., The versatile metacarpal and reverse metacarpal artery flap in hand surgery, Ann. Plast. Surg., 1992, 29, 523–31. http://dx.doi.org/10.1097/00000637-199212000-00008[Crossref]
  • [19] Eski M., Nisanci M., Sengezer M., Correction of thumb deformities after burn: versatility of first dorsal metacarpal artery flap, Burns, 2007, 33, 65–71. http://dx.doi.org/10.1016/j.burns.2006.04.030[WoS][Crossref]
  • [20] Yoon S.W., Rebecca A.M., Smith A.A., Mazaheri M.K., Casey W.J., Reverse second dorsal metacarpal artery flap for reconstruction of fourth-degree burn wounds of the hand, J. Burn Care Res., 2007, 28, 521–3 http://dx.doi.org/10.1097/BCR.0B013e318053DAAB[Crossref][WoS]
  • [21] Foucher G., Khouri R.K., Digital reconstruction with island flaps, Clin. Plast. Surg., 1997, 24, 1–32.
  • [22] Karamursel S, Celebioglu S. Reverse-flow first dorsal metacarpal artery flap for index fingertip reconstruction. Ann Plast Surg 2005;54: 600–603 http://dx.doi.org/10.1097/01.sap.0000164527.28417.bf[Crossref]
  • [23] Woo S.H., Seul J.H., Optimizing the Correction of Severe Postburn Hand Deformities by Using Aggressive Contracture Releases and Fasciocutaneous Free-Tissue Transfers, Plast. Reconstr. Surg., 2001, 107, 1–8 http://dx.doi.org/10.1097/00006534-200101000-00001[Crossref]
  • [24] Small J.O., Brennan M.D., The first dorsal metacarpal artery neurovascularisland flap, J. Hand Surg. Br., 1988, 13, 136–145 http://dx.doi.org/10.1016/0266-7681(88)90122-2[Crossref]
  • [25] Arria P., Gilbert A., Dorsal interosseous arteries of the hand. In: Gilbert A, Masquelet AC, Hentz R, editors. Pedicled flaps of the upper limb. Vascular Anatomy, Surgical Technique and Current Indications, London, Martin Dunitz, 1992, 155–68
  • [26] Gelbermann R.H., Panagis J.S., Taleisnik J., Baumgaertner M., The arterial anatomy of the human carpus. Part I. The extraosseous vascularity, J. Hand Surg., 1983, 8, 367–75.
  • [27] Gregory H., Heitmann C., Germann G., The evolution and refinements of the distally based dorsal metacarpal artery (DMCA) flaps, J. Plast. Reconstr. Aesht. Surg., 2007, 60, 731–739 http://dx.doi.org/10.1016/j.bjps.2007.03.011[WoS][Crossref]
  • [28] Olave E., Prates J.C., Grabrielle C., Mandiola E., Perforating branches: Important contribution to the formation of the dorsal metacarpal arteries, Scand. J. Plast. Recontr. Hand Surg., 1997, 32, 221–7

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_s11536-008-0061-7
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