Neurocutaneous metacarpal flaps
Kateva, M.; Dimitrov, K.
Acta Chirurgiae Plasticae 50(3): 89-92
2008
ISSN/ISBN: 0001-5423 PMID: 19263643 Document Number: 616261
The article describes the possibility of covering large skin defects of the fingers by the use of fasciocutaneous flap from the back of the hand. It is pedicled on a sensory nerve branch and its paraneural tissue. The flap relies on blood supply from the constant para- and intraneural vascular network which gives perforator branches towards the overlying skin as well as on the constant anastomoses between the dorsal and volar arterial pool. We present a patient with a skin defect along the whole radial side of the index who underwent such reconstruction.