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Journal of Hand Surgery (British and European Volume)
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Articles

Dorsal Metacarpal Reverse Flaps

Anatomical basis and clinical application

G. DAUTEL
M. MERLE

From the Service "Assistance Mains", Hopital Jeanne D’Arc, Nancy, France

Correspondence: G. Dautel, CHRU de Nancy, Hopital Jeanne D’A, B.P. 303, 54201 Dommartin les Touls, Nancy, France.

The presence of distal intermetacarpal anastomoses between dorsal and palmar vascular networks makes it possible to raise distally-based cutaneous island flaps oriented along the axis of the dorsal metacarpal arteries. These flaps receive a reverse-flow vascularisation. Distal intermetacarpal anastomoses were found consistently in 35 hands from adult cadavers. The exact location of these anastomoses varied with the course of the dorsal metacarpal artery. Thus, island flaps can be raised consistently from the dorsal aspect of the hand and rotated around a distal intermetacarpal pivot. These flaps are suitable for covering the dorsal aspect of the proximal phalanx and the proximal interphalangeal joint.

Journal of Hand Surgery (British and European Volume), Vol. 16, No. 4, 400-405 (1991)
DOI: 10.1016/0266-7681(91)90012-D
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