Clinical Example: Island dorsal metacarpal flap from the index finger to the middle metacarpal head

This gentleman had undergone 5 prior explorations for recurrent infection and inflammation following a palm thorn puncture injury two years ago. In this case, the scar and fibrotic dorsal metacarpal head skin was excised in addition to a radical joint debridement, and an island first dorsal metacarpal artery flap was used to relieve tension and provide well vascularized cover over the extensor tendon.

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Chronic inflammation and scars.
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Flap transferred from the index dorsal proximal phalanx to close the metacarpal head excisional defect - 10 days postop:
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3 months postop.
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