| 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. |
| Click on each image for a larger picture |
| Chronic inflammation and scars. |
 |
| Flap transferred from the index dorsal proximal phalanx to close the metacarpal head excisional defect - 10 days postop: |
 |
| 3 months postop. |
 |
| Search for...
first dorsal metacarpal artery flap flag flap |
Case Examples Index Page | e-Hand Home |