Repair of deep burn wounds of the finger by distally-based dorsal metacarpal flap
LI De-bao
TIAN Heng-jin
WANG Zhi-yong
SHENG Hui
ZHANG Zhi-jia
Abstract：Objective To explore the application of distally-based dorsal metacarpal flaps to repair tissue defects of the fingers with exposed tendon or bone.Methods From January 2010 to May 2015,distally-based dorsal metacarpal flaps,including the reversed dorsal metacarpal artery flap and neurocutaneous flap,were successfully used in deep burn wound repair of the proximal finger for 18 patients with burn wounds.The incision area of the distally-based dorsal metacarpal flap in both methods ranged from 2.5 cm × 1.5 cm to 5.5 cm × 2.5 cm.The donor sites were sutured directly or covered with free skin grafts.Results follow-up of 3 weeks to 12 months,only one complication occurred with stagnated blood and blister in the distal flap,which healed after changing dressings for two weeks.The other flaps had good blood circulation.The patients felt satisfied with postoperative appearance,function and sensation.Conclusion Distally-based dorsal metacarpal flaps with reliable blood supply can be used to repair deep burn wounds of the proximal and middle phalanx finger.The flap is advantageous in that the injury to the donor site is minor and the flap is easily manipulated.This technique is suitable to popularize in clinic.
Keywords：BurnFingerDorsal metacarpal flapFlap repair
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 355-357 )