Chimeric tricomposite flap from the second dorsal metacarpal artery
Reconstructing multi-tissue defects in the finger remains a significant challenge in hand surgery. We present the case of a 37-year-old man with segmental loss of bone, skin and extensor apparatus on the dorsal aspect of the index finger. A single stage reconstruction was successfully performed usin...
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| Language: | English |
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Elsevier
2025-06-01
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| Series: | JPRAS Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587825000762 |
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| author | Célina Cottier Sébastien Durand |
| author_facet | Célina Cottier Sébastien Durand |
| author_sort | Célina Cottier |
| collection | DOAJ |
| description | Reconstructing multi-tissue defects in the finger remains a significant challenge in hand surgery. We present the case of a 37-year-old man with segmental loss of bone, skin and extensor apparatus on the dorsal aspect of the index finger. A single stage reconstruction was successfully performed using a pedicled chimeric flap based on the second dorsal metacarpal artery combining skin paddle, second metacarpal base bone and the extensor indicis proprius. At 12 weeks, proximal interphalangeal joint fusion was achieved and the skin flap healed uneventfully. The patient regained full extension and 20° of active flexion at the distal interphalangeal joint. To our knowledge, this specific chimeric flap has not been previously described in the literature. This technique provides a versatile, single-stage solution for complex dorsal finger reconstruction, minimizing morbidity and optimizing functional outcomes. |
| format | Article |
| id | doaj-art-5e400f18dc4a4c8b9741b4ccf3e8a7ab |
| institution | Kabale University |
| issn | 2352-5878 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj-art-5e400f18dc4a4c8b9741b4ccf3e8a7ab2025-08-20T03:53:56ZengElsevierJPRAS Open2352-58782025-06-014442442910.1016/j.jpra.2025.04.004Chimeric tricomposite flap from the second dorsal metacarpal arteryCélina Cottier0Sébastien Durand1Department of Hand Surgery, Lausanne University Hospital and University of Lausanne, Avenue Pierre-Decker 5, 1011 Lausanne, SwitzerlandCorresponding author.; Department of Hand Surgery, Lausanne University Hospital and University of Lausanne, Avenue Pierre-Decker 5, 1011 Lausanne, SwitzerlandReconstructing multi-tissue defects in the finger remains a significant challenge in hand surgery. We present the case of a 37-year-old man with segmental loss of bone, skin and extensor apparatus on the dorsal aspect of the index finger. A single stage reconstruction was successfully performed using a pedicled chimeric flap based on the second dorsal metacarpal artery combining skin paddle, second metacarpal base bone and the extensor indicis proprius. At 12 weeks, proximal interphalangeal joint fusion was achieved and the skin flap healed uneventfully. The patient regained full extension and 20° of active flexion at the distal interphalangeal joint. To our knowledge, this specific chimeric flap has not been previously described in the literature. This technique provides a versatile, single-stage solution for complex dorsal finger reconstruction, minimizing morbidity and optimizing functional outcomes.http://www.sciencedirect.com/science/article/pii/S2352587825000762Chimeric flapDorsal metacarpal arteryExtensor indicis propriusVascularized tendonVascularized bone graft |
| spellingShingle | Célina Cottier Sébastien Durand Chimeric tricomposite flap from the second dorsal metacarpal artery JPRAS Open Chimeric flap Dorsal metacarpal artery Extensor indicis proprius Vascularized tendon Vascularized bone graft |
| title | Chimeric tricomposite flap from the second dorsal metacarpal artery |
| title_full | Chimeric tricomposite flap from the second dorsal metacarpal artery |
| title_fullStr | Chimeric tricomposite flap from the second dorsal metacarpal artery |
| title_full_unstemmed | Chimeric tricomposite flap from the second dorsal metacarpal artery |
| title_short | Chimeric tricomposite flap from the second dorsal metacarpal artery |
| title_sort | chimeric tricomposite flap from the second dorsal metacarpal artery |
| topic | Chimeric flap Dorsal metacarpal artery Extensor indicis proprius Vascularized tendon Vascularized bone graft |
| url | http://www.sciencedirect.com/science/article/pii/S2352587825000762 |
| work_keys_str_mv | AT celinacottier chimerictricompositeflapfromtheseconddorsalmetacarpalartery AT sebastiendurand chimerictricompositeflapfromtheseconddorsalmetacarpalartery |