A Reliable and Useful Flap for Repair Defects of the Hand Fingers: Reverse Flow Dorsal Metakarpal Artery Pediculled Flaps

Year 2011, Year: 2011 Volume: 36 Number: 1, 1 - 7, 01.03.2011

Erol Kesiktaş Rauf Kerimov Süphan Tunç Eyüphan Gencel Ömer Kokaçya

Abstract

Reverse flow dorsal metacarpal artery pediculled flap is one of the easily apllicable and useful flap alternatives which are used for closing the defects of the hand fingers. The aim of this study is evaluate complications and outcomes of finger defects repairing with reverse flow dorsal metacarpal artery pediculled flap. From 1999 till 2009 we applied this technique for repairing fingers’ defects in totally of 15 patients. 5 of them represent after electric burn injury, 4 after endustrial trauma, 4 after excision of squamous cell carsinoma ( SCC ) and 2 after contracture opening procedure. Nine of them were male and 6 female with mean age of 39. Most of used arteries were 2nd or 3rd dorsal metacarpal. Follow ups for these patients lasted around 30 month (11 - 45 month). İn 2 patients flaps were lost due to inappropriate pedicle rotation and after the debridement of the flaps, the defects were repaired with “cross-finger” flaps. Reverse flow dorsal metacarpal flap which does not damage the major arterial system of the hand and is easily applicable and useful technique, has good skin color and tissue compatibility, and can be used for fingers’ defects repairing.

Keywords

Hand finger defects, reverse flow flap, dorsal metacarpal artery

El Parmak Defektlerinin Onarımında Güvenilir ve Kullanışlı Bir Flep: Ters Akımlı Dorsal Metakarpal Arter Pediküllü Flep

Abstract

El parmak defektlerinin kapatılmasında kullanılan, kolay uygulanan ve kullanılışlı flep seçeneklerinden birisi de ters akımlı dorsal metakarpal arter pediküllü fleptir. Bu çalışmada amaç; el parmak defekt onarımında kullandığımız ters akımlı dorsal metakarpal arter pediküllü flep uyguladığımız hastalarımızda aldığımız sonuçları ve komplikasyonları değerlendirmektir. 1999-2009 yıllar arası toplam 15 hastaya, el parmak defekt onarımı için ters akımlı dorsal metakarpal arter pediküllü fleple onarım uyguladık. Hastaların 5’inde elektrik yanığı, 4’ünde iş kazası, 4’ünde skuamoz hücreli karsinom ( SHK ) eksizyonu ve 2’sinde de kontraktür açılması sonrası oluşan defektler bulunmaktaydı. Hastaların 9’u erkek, 6’sı ise kadın ve ortalama yaş 39 idi. Çoğunlukla 2. veya 3. dorsal metakarpal arterler flep için kullanıldı. Operasyon sonrası hastalar ortalama 30 ay ( 11-45 ay ) süresince takip edildi. İki hastada pedikül rotasyonunun uygun olmaması nedeniyle flep nekrozu gelişti ve flep debridmanı yapıldıktan sonra defekt “cross-finger” flebiyle onarıldı. El parmak defektleri onarımı için kullandığımız, ters akımlı dorsal metakarpal arter pediküllü flep, elin majör arteriyel sistemini bozmayan, uygulanması kolay, kullanışlı, uygun renk ve doku uyumu sağlayan iyi bir flep seçeneğidir.

Keywords

El parmak defekti, ters akımlı flep, dorsal metakarpal arter.

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