RT - Journal
TY - JOUR
A1 - Al-Baz, Tamer
A1 - Gad, Shawky
A1 - Keshk, Tarek
A1 - Aly, Medhat
T1 - Evaluation of dorsal metacarpal artery perforator flaps in the reconstruction of hand soft-tissue defects
YR - 2019/10/1
JF - Menoufia Medical Journal
JO - Menoufia Med J
SP - 1256
OP - 1261
VO - 32
IS - 4
UL - http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2019;volume=32;issue=4;spage=1256;epage=1261;aulast=Al-Baz;t=5
DO - 10.4103/mmj.mmj_365_18
N2 -
Objective
Evaluation of the dorsal metacarpal artery perforator (DMAP) flaps in the reconstruction of hand soft-tissue defects.
Background
The DMAP flap is a nonconventional solution for treating hand and finger defects. We present our experience in resurfacing a variety of soft-tissue defects of hand and fingers with this single-stage flap, reducing the need for other conventional flaps which may need more than one stage for reconstruction.
Patients and methods
This study was done on 20 patients (18–65 years) with soft-tissue defects of the hand and fingers, following trauma in 15 patients, postburn deformity reconstruction in four patients, and in one patient for post-tumor excision, presented at the Menoufia University Hospital and Kafr Al-Shaikh General Hospital over a 1-year period.
Results
The average flap size was 6 × 2.5 cm; raised from the dorsum of the hand as an island elliptical flap. Twelve flaps were used to resurface defects between metacarpophalangeal and proximal interphalangeal joints; three flaps were used to resurface defects between proximal and distal interphalangeal joints; one flap was used to resurface defect beyond the distal interphalangeal joint; and four flaps were used to resurface web space defects. The donor site closed primarily in all cases. Complications were distal necrosis in two flaps and congestion in two flaps. Wound dehiscence of the donor site occurred in two cases.
Conclusion
DMAP flap is a reliable alternative for treating defects on the hand and fingers. The flap offers the surgeon simple, single-stage, and fast procedure with minimal donor site morbidity and with preservation of functional and esthetic outcomes.
ER -