Cobertura del Dorso de los Dedos de la Mano Con Colgajos Tipo Propeller de Perforantes de Arteria Intermetacarpiana Dorsal

Resumen

Las lesiones en el dorso los dedos de la mano, debidas a traumatismos, infecciones o quemaduras, son causa frecuente de exposición de estructuras nobles óseas, articulares y/o tendinosas. El dorso de la mano ofrece la posibilidad de cobertura donante con una gran similitud de calidad de tejido. Por ello, una opción sencilla y práctica es la cobertura con un colgajo tipo Propeller de perforantes de la arteria intermetacarpiana dorsal, conocido en la literatura médica anglosajona como “Quaba flap,” y sus variantes. Presentamos una serie de 3 pacientes, con afectación y exposición noble del dorso de los dedos, desde F1, PIP Y F2, ocurridos tras infección, quemadura y traumatismo, respectivamente, que se vieron beneficiados de esa técnica, empleando, en cada caso, un colgajo de distinto espacio intermetacarpiano dorsal. Especificamos los detalles de la técnica quirúrgica con referencias anatómicas.

Abstract

All injuries at the back of the fingers, due to a trauma, infections or burns, are frequently caused by the exposure of noble osseous structures, articular and/or tendons. The back of the hand offers the possibility of donor coverage with a great similarity of tissue quality. Therefore, a simple and practical option is the coverage with a dorsal intermetacarpal artery perforators Propeller flap, known in the English medical literature as “Quaba flap,” and its variants. The purpose of this article is to try to show the suitability of the IMCAP perforator flap in the covering of defects on the back of the fingers of the hand. So, we present a series of three patients, with a noble involvement and exposure of the back of the fingers, from F1, PIP and F2, occurring after an infection, a burnt and a trauma, respectively, being benefited from this technique, using, in each case, a flap from a different dorsal intermetacarpal space. We specify the details of this surgical technique with different anatomical references.

Palabras clave

lesiones de la Mano - colgajos de perforantes - colgajos en isla

Keywords

hand injuries - perforator flaps - island flaps

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