Dorsal Metacarpal Island Flap in Syndactyly Treatment

Web space reconstruction is an important component of syndactyly treatment. There are several methods for a skin graft–free reconstruction. Previously, the dorsal metacarpal island flap based on a direct cutaneous branch of the dorsal metacarpal artery has been used as an island V-Y advancement for web defects in syndactyly. In this study, dorsal metacarpal artery flap was raised similarly as an island but was used instead as a transposition flap in a series of 19 web defects. Early results of a median (range) follow-up of 3 (1–5) years reveal neither recurrence of the deformity nor web creeping. Such utilization of the flap enables a better use of the skin territory proximal to the pedicle and a more comfortable reconstruction of the web space.

[1]  B. Coessens,et al.  Congenital syndactyly: defatting facilitates closure without skin graft. , 2001, The Journal of hand surgery.

[2]  Z. Tosun,et al.  Use of reverse triangular V-Y flaps to create a web space in syndactyly. , 1999, Annals of plastic surgery.

[3]  M. Sherif.  V‐Y Dorsal Metacarpal Flap: A New Technique for the Correction of Syndactyly without Skin Graft , 1998, Plastic and reconstructive surgery.

[4]  J. Yao,et al.  Repair of incomplete simple syndactyly by a web flap on a subcutaneous tissue pedicle. , 1997, Plastic and reconstructive surgery.

[5]  D. Vickers,et al.  CORRECTIVE SURGERY OF SYNDACTYLY WITHOUT THE USE OF SKIN GRAFTS , 1996 .

[6]  L. Ekerot.  Syndactyly Correction without Skin-Grafting , 1996, Journal of hand surgery.

[7]  F. Wei,et al.  Reverse Dorsometacarpal Flap in Digits and Web‐Space Reconstruction , 1994, Annals of plastic surgery.

[8]  A. Flatt.  The care of congenital hand anomalies , 1994 .

[9]  Y. Maruyama.  The reverse dorsal metacarpal flap. , 1990, British journal of plastic surgery.

[10]  A. Quaba,et al.  The distally-based dorsal hand flap. , 1990, British journal of plastic surgery.

[11]  M. Earley.  The Second Dorsal Metacarpal Artery Neurovascular Island Flap , 1989, Journal of hand surgery.

[12]  P. Sykes,et al.  Syndactyly: a review of the factors which influence surgical treatment. , 1989, Journal of hand surgery.

[13]  J. Holle,et al.  [Late results following surgical correction of syndactyly and symbrachydactyly]. , 1989, Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood.

[14]  E. Ger,et al.  Evaluation of the operative treatment of syndactyly. , 1979, The Journal of hand surgery.

[15]  P. Kakaras.  Congenital hand deformities. , 1966, International surgery.

[16]  H. Kalter,et al.  Congenital malformations. , 1961, The New England journal of medicine.

[17]  T. D. Cronin.  SYNDACTYLISM: RESULTS OF ZIG-ZAG INCISION TO PREVENT POSTOPERATIVE CONTRACTORS , 1956, Plastic and reconstructive surgery.