RACKED-SHAPED KITE FLAP

Abstract

Traumatic tissue loss of pulp on the first finger, represents a common problem which requires serious reconstructive operations. The final cosmetic appearance and the sensorial sufficiency for an optimum thumb function are important limitations of wound closure during the thumb reconstruction. Generally, these defects are closed by regional flaps as: Palmar advancement flap (Moberg), cross finger flap, neurovascular island flap (Littler) and the first dorsal metacarpal artery flap (Kite) (1,2).

Keywords

• -

RACKED-SHAPED KITE FLAP

Abstract

-

Keywords

• -

References

1. Moberg E. Aspects of sensation in reconstructive surgery of the upper extremity. J Bone Joint Surg 1964;46: 817-25
2. Littler JW. The neurovascular pedicle method of digital transposition for reconstruction of the thumb. Plast Reconstr Surg 1953;12:303-19
3. Kleinman WB, Strickland JW. Thumb reconstruction. In: Green DP, Hotchkiss R, Pederson WC. Operative hand surgery. 4th ed. New York: Churchill Livingstone, 1999;2068-70
4. Heitmann C, Levin LS. Alternatives to thumb replantation. Plast Reconstr Surg 2002;110(6):1492-503
5. Ege A, Tuncay I, Çetin Ö. Foucher’s first dorsal metacarpal artery flap for thumb reconstruction:evaluation of 21 cases. Isr Med Assoc J 2002;4(6):421-3
6. Ratcliffe RJ, Regan PJ, Scerri GV. First dorsal metacarpal artery flap cover for extensive pulp defects in the normal length thumb. Br J Plast Surg 1992; 45(7):544-6
7. Small JO, Brennen MD. The first dorsal metacarpal artery neurovascular island flap.J Hand Surg 1988;13(2):136-45