First Dorsal Metacarpal Artery Adiposofascial Flap for Venous Conduit and Soft Tissue Cover in an Avulsed Thumb: Case Report

Abstract

Skin loss, need for vein grafts, and secondary surgeries are often encountered in avulsion injuries of the thumb. We report a case of successful salvage of an avulsion type of near total amputation of the thumb following a conveyor belt injury in which the first dorsal metacarpal artery adiposofascial flap was used for combined soft tissue cover and venous conduit.

Keywords

thumb avulsion - revascularization - first dorsal metacarpal artery flap

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