The reverse dorsal metacarpal artery flap in finger reconstruction: A reliable choice
Background: The finger skin and soft-tissue defects are reconstructive challenges due to their nature and the intricate extensor apparatus and flexors it protects. The reverse dorsal metacarpal artery (RDMA) is a time-tested option for the reconstruction of the same. Materials and Methods: A total o...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2018-01-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_37_17 |
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| author | Jyoshid R. Balan Shaji Mathew Pradeep Kumar Harsh Vardhan Anto Francis V. G. Aniljith Raj Gopal |
| author_facet | Jyoshid R. Balan Shaji Mathew Pradeep Kumar Harsh Vardhan Anto Francis V. G. Aniljith Raj Gopal |
| author_sort | Jyoshid R. Balan |
| collection | DOAJ |
| description | Background: The finger skin and soft-tissue defects are reconstructive challenges due to their nature and the intricate extensor apparatus and flexors it protects. The reverse dorsal metacarpal artery (RDMA) is a time-tested option for the reconstruction of the same. Materials and Methods: A total of 14 cases of RDMA flap for finger defects involving proximal to distal phalanx were performed. Thirteen of these patients were male and one patient female and the most common mode of injury was occupational in nature followed by road traffic accident. The overall appearance was assessed for the flap and the donor site. The associated injuries and the range of motion were noted. Results: All but one flap survived completely. One patient had partial distal flap loss, which was tackled with split-thickness skin grafting. The flap size varied from 3.5 cm × 1.5 cm to 9 cm × 2 cm with mean of 6.64 cm × 1.72 cm. The mean age of the patients was 33.4 years. All the patients had acceptable aesthesis. The donor site had no complications and healed with linear scar. Conclusions: RDMA flap is a reliable flap for finger defects reconstruction. The range of movement mainly depends on the associated injury rather than flap transfer alone and to prove this we require doing analysis of range of movement in patients with flap done alone or with associated injuries. |
| format | Article |
| id | doaj-art-c2c9f978aeb345d99b87d9ba51b75698 |
| institution | DOAJ |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-c2c9f978aeb345d99b87d9ba51b756982025-08-20T03:23:15ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2018-01-01510105405910.4103/ijps.IJPS_37_17The reverse dorsal metacarpal artery flap in finger reconstruction: A reliable choiceJyoshid R. Balan0Shaji Mathew1Pradeep Kumar2Harsh Vardhan3Anto Francis4V. G. Aniljith5Raj Gopal6Sushrutha Institute of Plastic Reconstructive and Aesthetic Surgery, Elite Mission Hospital, Thrissur, Kerala, IndiaSushrutha Institute of Plastic Reconstructive and Aesthetic Surgery, Elite Mission Hospital, Thrissur, Kerala, IndiaSushrutha Institute of Plastic Reconstructive and Aesthetic Surgery, Elite Mission Hospital, Thrissur, Kerala, IndiaSushrutha Institute of Plastic Reconstructive and Aesthetic Surgery, Elite Mission Hospital, Thrissur, Kerala, IndiaSushrutha Institute of Plastic Reconstructive and Aesthetic Surgery, Elite Mission Hospital, Thrissur, Kerala, IndiaSushrutha Institute of Plastic Reconstructive and Aesthetic Surgery, Elite Mission Hospital, Thrissur, Kerala, IndiaSushrutha Institute of Plastic Reconstructive and Aesthetic Surgery, Elite Mission Hospital, Thrissur, Kerala, IndiaBackground: The finger skin and soft-tissue defects are reconstructive challenges due to their nature and the intricate extensor apparatus and flexors it protects. The reverse dorsal metacarpal artery (RDMA) is a time-tested option for the reconstruction of the same. Materials and Methods: A total of 14 cases of RDMA flap for finger defects involving proximal to distal phalanx were performed. Thirteen of these patients were male and one patient female and the most common mode of injury was occupational in nature followed by road traffic accident. The overall appearance was assessed for the flap and the donor site. The associated injuries and the range of motion were noted. Results: All but one flap survived completely. One patient had partial distal flap loss, which was tackled with split-thickness skin grafting. The flap size varied from 3.5 cm × 1.5 cm to 9 cm × 2 cm with mean of 6.64 cm × 1.72 cm. The mean age of the patients was 33.4 years. All the patients had acceptable aesthesis. The donor site had no complications and healed with linear scar. Conclusions: RDMA flap is a reliable flap for finger defects reconstruction. The range of movement mainly depends on the associated injury rather than flap transfer alone and to prove this we require doing analysis of range of movement in patients with flap done alone or with associated injuries.http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_37_17aesthesisfinger defectsreconstructionreverse dorsal metacarpal artery flap |
| spellingShingle | Jyoshid R. Balan Shaji Mathew Pradeep Kumar Harsh Vardhan Anto Francis V. G. Aniljith Raj Gopal The reverse dorsal metacarpal artery flap in finger reconstruction: A reliable choice Indian Journal of Plastic Surgery aesthesis finger defects reconstruction reverse dorsal metacarpal artery flap |
| title | The reverse dorsal metacarpal artery flap in finger reconstruction: A reliable choice |
| title_full | The reverse dorsal metacarpal artery flap in finger reconstruction: A reliable choice |
| title_fullStr | The reverse dorsal metacarpal artery flap in finger reconstruction: A reliable choice |
| title_full_unstemmed | The reverse dorsal metacarpal artery flap in finger reconstruction: A reliable choice |
| title_short | The reverse dorsal metacarpal artery flap in finger reconstruction: A reliable choice |
| title_sort | reverse dorsal metacarpal artery flap in finger reconstruction a reliable choice |
| topic | aesthesis finger defects reconstruction reverse dorsal metacarpal artery flap |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_37_17 |
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