| The dorsal metacarpal flaps are based on the dorsal metacarpal arteries. They may be transferred as an island, on a long pedicle such as a flag flap, or as a "supercharged" transposition flap, as in this case. |
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| This full thickness chemical burn wound in a diabetic smoker had just resolved acute cellulitis. |
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| Debridement revealed involvement of the metacarpal head. Extensor mechanism, joint capsule and involved metacarpal head were debrided. A bilobed flap was used for cover, using web skin for cover, and index skin for the web. |
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| The common extensor of the index was transferred to the middle. |
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| Index donor site covered with a full thickness skin graft. |
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| Late result: |
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dorsal metacarpal flap dorsal hand reconstruction |
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