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

Chaitanya Dodakundi; Yasunori Hattori; Kazuteru Doi

doi:10.1055/s-0032-1311684

Journal of Reconstructive Microsurgery, Table of Contents

J Reconstr Microsurg 2012; 28(05): 297-300
DOI: 10.1055/s-0032-1311684

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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

Chaitanya Dodakundi

¹Department of Orthopedics, Ogori Daiichi General Hospital, Shimogo-Ogori, Yamaguchi, Japan

,

Yasunori Hattori

¹Department of Orthopedics, Ogori Daiichi General Hospital, Shimogo-Ogori, Yamaguchi, Japan

,

Kazuteru Doi

¹Department of Orthopedics, Ogori Daiichi General Hospital, Shimogo-Ogori, Yamaguchi, Japan

› Author Affiliations

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

Full Text

References

References
1 Goldner RD, Urbanaik JR. Replantation. In: Green DP, ed. Operative Hand Surgery. 5th ed. New York: Churchill Livingstone; 2008: 1569-1587
2 Komatsu S, Tamai S. Successful reimplantation of a completely cut-off thumb: case report. Plast Reconstr Surg 1968; 42: 374-377
3 Chow JA, Bilos ZJ, Chunprapaph B. Thirty thumb replantations. Indications and results. Plast Reconstr Surg 1979; 64: 626-630
4 Hamilton RB, O'Brien BM, Morrison A, MacLeod AM. Survival factors in replantation and revascularization of the amputated thumb—10 years experience. Scand J Plast Reconstr Surg 1984; 18: 163-173
5 Janezic TF, Arnez ZM, Solinc M, Zaletel-Kragelj L. One hundred sixty-seven thumb replantations and revascularisations: early microvascular results. Microsurgery 1996; 17: 259-263
6 Cao X, Cai J, Liu W. Avulsive amputations of the thumb: comparison of replantation techniques. Microsurgery 1996; 17: 17-20
7 Foucher G, Braun JB. A new island flap transfer from the dorsum of the index to the thumb. Plast Reconstr Surg 1979; 63: 344-349
8 El-Khatib HA. Clinical experiences with the extended first dorsal metacarpal artery island flap for thumb reconstruction. J Hand Surg Am 1998; 23: 647-652
9 Zhang X, Yang L, Shao X, Wen S, Zhu H, Zhang Z. Use of a bilobed second dorsal metacarpal artery-based island flap for thumb replantation. J Hand Surg Am 2011; 36: 998-1006