Salvage of a Thumb Replant Using a Bilobed Dorsal Metacarpal Artery Island Flap: Case Report and Literature Review |
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Authors: | Salim C Saba John Lee Vinod V Pathy Renata V Weber |
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Institution: | (1) Division of Plastic and Reconstructive Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, 1625 Poplar Street, Suite 200, Bronx, NY 10461, USA |
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Abstract: | Amputations and degloving injuries of the hand are highly disabling, especially when they affect the thumb. Dorsal metacarpal
artery (DMCA)-based flaps have been well-documented in the literature for use in extensive degloving injuries of both dorsal
and palmar aspects of the thumb surface. Modifications on these flaps, such as the bilobed island flap, offer additional advantages
when larger surface areas or more distal defects of the thumb are present. We present a review of the literature on the DMCA
flap and describe its use to salvage a partial survival of a thumb amputation through the metacarpophalangeal joint. |
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Keywords: | Thumb amputation Replant Dorsal metacarpal artery flap Salvage |
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