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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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Autores principales: Balan, Jyoshid R., Mathew, Shaji, Kumar, Pradeep, Vardhan, Harsh, Francis, Anto, Aniljith, V. G., Gopal, Raj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992930/
https://www.ncbi.nlm.nih.gov/pubmed/29928080
http://dx.doi.org/10.4103/ijps.IJPS_37_17
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author Balan, Jyoshid R.
Mathew, Shaji
Kumar, Pradeep
Vardhan, Harsh
Francis, Anto
Aniljith, V. G.
Gopal, Raj
author_facet Balan, Jyoshid R.
Mathew, Shaji
Kumar, Pradeep
Vardhan, Harsh
Francis, Anto
Aniljith, V. G.
Gopal, Raj
author_sort Balan, Jyoshid R.
collection PubMed
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.
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spelling pubmed-59929302018-06-20 The reverse dorsal metacarpal artery flap in finger reconstruction: A reliable choice Balan, Jyoshid R. Mathew, Shaji Kumar, Pradeep Vardhan, Harsh Francis, Anto Aniljith, V. G. Gopal, Raj Indian J Plast Surg Original Article 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. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5992930/ /pubmed/29928080 http://dx.doi.org/10.4103/ijps.IJPS_37_17 Text en Copyright: © 2018 Indian Journal of Plastic Surgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Balan, Jyoshid R.
Mathew, Shaji
Kumar, Pradeep
Vardhan, Harsh
Francis, Anto
Aniljith, V. G.
Gopal, Raj
The reverse dorsal metacarpal artery flap in finger reconstruction: A reliable choice
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 Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992930/
https://www.ncbi.nlm.nih.gov/pubmed/29928080
http://dx.doi.org/10.4103/ijps.IJPS_37_17
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