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Reverse Neurocutaneous Flap Based on the Dorsal Branch of the Ulnar Artery for Palm Coverage in Children: Long-Term Results.
J Hand Surg Am
December 2022
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianópolis, Brasil; Department of Plastic Surgery, Joana de Gusmão Children Hospital, Florianópolis, Brasil. Electronic address:
Purpose: Although the palm is spared mostly in severe burn injuries, it often is affected in children and requires radical excision of contracting scar tissue to allow normal hand development. Since alternatives are limited for palmar coverage, we primarily use a reverse-perfused, neurocutaneous dorsal ulnar artery flap. We report here our long-term follow-up results.
View Article and Find Full Text PDF[Repair of finger soft tissue defects using axial pattern flaps].
Zhonghua Shao Shang Za Zhi
February 2012
Department of Burns and Plastic Surgery, the Second Hospital of Shaoxing Municipality, Shaoxing, China.
Objective: To investigate the feasibility and effect of different types of axial pattern flaps in repairing soft tissue defects of the fingers.
Methods: Five types of axial pattern flaps were used to repair soft tissue defects of the fingers of 30 patients admitted to the Second Hospital of Shaoxing Municipality from 2005 to 2010, including distally-based dorsal thumb neurocutaneous vascular flaps in 4 cases, free flaps from the fibular side of the great toe in 6 cases, modified retrograde dorsal metacarpal artery flaps in 8 cases, free flaps based on the radial dorsal septum muscular perforator of the posterior interosseous artery in 6 cases, and free posterior interosseous artery flaps carrying a long segment of the posterior interosseous artery in 6 cases. The flap size ranged from 2.
Neurocutaneous metacarpal flaps.
Acta Chir Plast
April 2009
Pirogov Hospital for Emergency Medicine, Hand Surgery Department, Sofia, Bulgaria.
The article describes the possibility of covering large skin defects of the fingers by the use of fasciocutaneous flap from the back of the hand. It is pedicled on a sensory nerve branch and its paraneural tissue. The flap relies on blood supply from the constant para- and intraneural vascular network which gives perforator branches towards the overlying skin as well as on the constant anastomoses between the dorsal and volar arterial pool.
View Article and Find Full Text PDF[Defect coverage and reconstruction of thumb sensibility with the first dorsal metacarpal artery flap].
Chirurg
October 2004
Klinik für Plastische, Asthetische und Handchirurgie, Zentrum für Schwerbrandverletzte, Klinikum Offenbach, Akademisches Lehrkrankenhaus der Johann Wolfgang Goethe Universität Frankfurt, Offenbach.
Introduction: The "Foucher" flap is a pedicled neurovascular island flap of the first dorsal metacarpal artery.
Methods: From 1992 to 2000, thirty-three neurocutaneous island flaps from the dorsal aspect of the index finger (FDMCA flap) were performed for defect coverage and reconstruction of sensibility in the thumb.
Results: Static 2-PD over the flap area averaged 10.
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