| This two stage flag flap was to cover a distal dorsal thumb defect. The flap is based on branches of the first dorsal metacarpal artery, included in the subcutaneous tissues of the pedicle. The pedicle can be made narrow enough to close the pedicle donor site directly, as was done here. |
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| Final result, after flap division: |
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flag flap first dorsal metacarpal flap |
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