The anatomical basis for reverse first to fifth dorsal metacarpal arterial flaps

被引:33
作者
Omokawa, S
Tanaka, Y
Ryu, J
Kish, VL
机构
[1] W Virginia Univ, Orthoped Res Lab, Morgantown, WV USA
[2] Ishinkai Yao Gen Hosp, Dept Orthoped, Osaka, Japan
[3] Nara Med Univ, Dept Orthoped, Kashihara, Nara, Japan
关键词
anatomy; reverse; dorsal; metacarpal; artery; flap;
D O I
10.1016/j.jhsb.2004.09.006
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This study discusses the anatomical basis for reverse first to fifth dorsal metacarpal arterial flaps. The arterial pattern and size of the first to fifth dorsal metacarpal arteries were examined in 20 fresh cadaver hands. Their connections to the palmar arterial system at the metacarpal head were observed, and the location, number and diameter of skin perforators from each dorsal metacarpal artery were measured. The first to fourth dorsal metacarpal arteries were found in all specimens; the fifth dorsal metacarpal artery was found in 19 of our 20 specimens. The mean diameters of the first to fifth arteries at their bifurcation site were 0.6, 0.8, 0.5, 0.4 and 0.2 mm, respectively. Each artery gave off four to eight skin perforators (diameter: 0.1-0.3 mm) between the metacarpal head and base. The first to third dorsal metacarpal arteries consistently connected to the palmar arterial system, and connections between the fourth and fifth dorsal metacarpal arteries and the palmar system were found in 65% and 40% of specimens.
引用
收藏
页码:40 / 44
页数:5
相关论文
共 16 条
[1]  
ARRIA P, 1992, PEDICLE FLAPS UPPER, P155
[2]   Is the reversed fourth dorsal metacarpal flap reliable? [J].
Benito, JR ;
Ferreres, A ;
Rodriguez-Baeza, A ;
Monner, J ;
Paloma, V ;
Serra, JMR .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 2000, 25B (02) :135-139
[3]  
COLEMAN SS, 1961, SURG GYNECOL OBSTET, V113, P409
[4]   DIRECT AND REVERSE DORSAL METACARPAL FLAPS [J].
DAUTEL, G ;
MERLE, M .
BRITISH JOURNAL OF PLASTIC SURGERY, 1992, 45 (02) :123-130
[5]   DORSAL VASCULAR NETWORK OF THE 1ST WEB SPACE - ANATOMICAL BASES OF THE KITE FLAP [J].
DAUTEL, G ;
BORRELLY, J ;
MERLE, M ;
MICHON, J .
SURGICAL AND RADIOLOGIC ANATOMY, 1989, 11 (02) :109-113
[6]   DORSAL METACARPAL REVERSE FLAPS - ANATOMICAL BASIS AND CLINICAL-APPLICATION [J].
DAUTEL, G ;
MERLE, M .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1991, 16B (04) :400-405
[8]   DORSAL METACARPAL FLAPS [J].
EARLEY, MJ ;
MILNER, RH .
BRITISH JOURNAL OF PLASTIC SURGERY, 1987, 40 (04) :333-341
[9]   A new approach to the reverse dorsal metacarpal artery flap [J].
Karacalar, A ;
Ozcan, M .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1997, 22A (02) :307-310
[10]   A microdissected thin tensor fasciae latae perforator flap [J].
Kimura, N .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2002, 109 (01) :69-77