Clinical Application of the Perforator Flap of Dorsal Metacarpal Artery

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  Objective It was a common emergency of hand injury combined of the defect of skin.We would explore the clinical effect of repair the skin defect of hand injury using the perforator flap of the dorsal metacarpal artery.Methods During the period from March 2010 to March 2012, 15 patients in this series were treated by the technique of the perforator flap of the dorsal metacarpal artery.10 patients diagnosed with skin defect of 2st and 3st finger were treated by the perforator flap of 2st dorsal metacarpal artery.The 3st dorsal metacarpal artery perforator flap was used in 3 patients accompanied with skin defect of 3st and 4st finger.The 4st dorsal metacarpal artery perforator flap was used in 2 patients accompanied with skin defect of 4st and 5st finger.Results No necrosis happened.The rang of follow-up time was from 3 months to 2 years.The color of the flap was nearly the same as the surrounding skin.The texture of the flap was soft and the scar was no obvious.The function of the hand recovered well.Conclusion The blood supply was the perforator flap of the dorsal metacarpal artery was constant and it was easy to develop this flap.It was a good choice for skin defect of hand injury.
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