Application of a flap on first dorsal metacarpal artery to close the defect of the I finger in a 16-year-old patient
https://doi.org/10.52581/1814-1471/94/03
Abstract
Objective. Thumb defects are a difficult problem for reconstructive surgeons, as this finger provides more than 50 % of the hand’s function. Options for closing defects of different localization of the first finger of the hand are proposed. The flap of the first dorsal metacarpal artery (in the literature it is called the “Kite flap”) allows to close the defects located between the anatomical snuffbox and the interphalangeal joint of the first finger. The article presents a clinical case: a 16-year-old boy with a long-term non-healing ulcer in the back of the First metacarpal joint. The formation was removed. A flap on the 1st dorsal metacarpal artery was used to close the defect. A satisfactory result was obtained. The flap was first described by G. Foucher and J.B. Braun in 1979, and later various modifications of this flap were proposed. The flap ensures that the defect is closed with minimal damage to the donor area. Thus, the use of a flap on the 1st dorsal metacarpal artery is an effective method for closing defects at the base of the first finger of the hand.
Supporting agencies: No author has a financial or property interest in any material or method metioned
About the Authors
A. A. Smirnov
Russian Children's Clinical Hospital – Branch of the N.I. Pirogov Russian NationalResearch Medical University
Russian Federation
Russian Federation
Alexander A. Smirnov, pediatric surgeon
Department of Reconstructive Plastic Surgery
119571; bld. 1, 117, Leninsky Ave.; Moscow
A. G. Narbutov
Russian Children's Clinical Hospital – Branch of the N.I. Pirogov Russian NationalResearch Medical University
Russian Federation
Russian Federation
Anton G. Narbutov, Cand. Med. sci., head of the Department
Department of Reconstructive Plastic Surgery
119571; bld. 1, 117, Leninsky Ave.; Moscow
T. A. Gassan
Russian Children's Clinical Hospital – Branch of the N.I. Pirogov Russian NationalResearch Medical University; N.I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Tatiana A. Gassan, Dr. Med. sci., Professor, pediatric surgeon
Department of Pediatric Surgery; Department of Reconstructive Plastic
Surgery
117997; 1, Ostrovityanov st.; 119571; 117, Leninsky Ave.; Moscow
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Review
For citations:
Smirnov A.A., Narbutov A.G., Gassan T.A. Application of a flap on first dorsal metacarpal artery to close the defect of the I finger in a 16-year-old patient. Issues of Reconstructive and Plastic Surgery. 2025;28(3):30-34. (In Russ.) https://doi.org/10.52581/1814-1471/94/03
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