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CC BY-NC-ND 4.0 · Indian J Plast Surg 2009; 42(01): 052-057
DOI: 10.1055/s-0039-1699313
Original Article
Association of Plastic Surgeons of India

Clinical study of dorsal ulnar artery flap in hand reconstruction

Manal M. Khan
Department of Plastic Surgery, Aligarh Muslim University, J. N. Medical College, AMU, Aligarh, UP - 202 002, India
,
Mohd. Yaseen
Department of Plastic Surgery, Aligarh Muslim University, J. N. Medical College, AMU, Aligarh, UP - 202 002, India
,
L. M. Bariar
Department of Plastic Surgery, Aligarh Muslim University, J. N. Medical College, AMU, Aligarh, UP - 202 002, India
,
Sheeraz M. Khan
Department of Plastic Surgery, Aligarh Muslim University, J. N. Medical College, AMU, Aligarh, UP - 202 002, India
› Author Affiliations
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Publication History

Publication Date:
15 January 2020 (online)

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ABSTRACT

Soft tissue defects of hand with exposed tendons, joints, nerves and bone represent a challenge to plastic surgeons. Such defects necessitate early flap coverage to protect underlying vital structures, preserve hand functions and to allow for early rehabilitation. Becker and Gilbert described flap based on the dorsal branch of the ulnar artery for defects around the wrist. We evaluated the use of a dorsal ulnar artery island flap in patients with soft tissue defects of hand. Twelve patients of soft tissue defects of hand underwent dorsal ulnar artery island flap between August 2006 and May 2008. In 10 male and 2 female patients this flap was used to reconstruct defects of the palm, dorsum of hand and first web space. Ten flaps survived completely. Marginal necrosis occurred in two flaps. In one patient suturing was required after debridement and in other patient wound healed by secondary intention. The final outcome was satisfactory. Donor areas which were skin grafted, healed with acceptable cosmetic results. The dorsal ulnar artery island flap is convenient, reliable, and easy to manage and is a single-stage technique for reconstructing soft tissue defects of the palm, dorsum of hand and first web space. Donor site morbidity is minimal, either closed primarily or covered with split thickness skin graft.

KEY WORDS

Dorsal ulnar artery flap - Hand reconstruction - Island flap
 

  • REFERENCES

  • 1 Becker C, Gilbert A. The cubital flap. Ann Chir Main 1988;7: 136-42.
  • 2 Becker C, Gilbert A. The ulnar flap-Description and applications. Eur J Plast Surg 1988;11:79-82.
  • 3 Bartelli JA, Pagliei A. The neurocutaneous flap based on the dorsal branches of the ulnar artery and nerve: A new flap for extensive reconstruction. Plast Reconstr Surg 1998;101:1537-43.
  • 4 Holevich-Madjarova B, Paneva-Holevich E, TopKarov V. Island flap supplied by the dorsal branch of the ulnar artery. Plast Reconstr Surg 1991;87:562-6.
  • 5 Karacalar A, Ozcan M. Preliminary report: The distally pedicled dorsoulnar forearm flap for hand reconstruction. Br J Plast Surg 1999;52:453-7.
  • 6 Choupina M, Malheiro E, Guimarães I, Pinho C, Silva P, Ferreira P, et al. Osteofasciocutaneous flap based on the dorsal ulnar artery: A new option for reconstruction of composite hand defects. Br J Plast Surg 2004;57:465-8.
  • 7 Ulkur E, Acikel C, Eren F, Celikoz B. Use of dorsal ulnar neurocutaneous island flap in the treatment of chronic postburn palmar contractures. Burns 2005;31:99-104.
  • 8 Antonopoulos D, Kang NV, Debono R. Our experience with the use of the dorsal ulnar artery flap in hand and wrist tissue cover. J Hand Surg 1997;22:739-44.
  • 9 Severo AL, Grün CR, Lech OC, Costa MC, Piluski P. Dorsal ulnar artery flap. J Reconstr Microsurg 2006;22:949035.
  • 10 Karki D, Singh AK. The distally-based island ulnar artery perforator flap for wrist defects. Indian J Plast Surg 2007;40:12-7.
  • 11 Niranjan NS, Shibu MM. The median forearm flap. Br J Plast Surg 1994;47:272-4.