First dorsal metacarpal artery adipofascial flap for thenar burn contracture releasing

摘要

Introduction:Although many local flap alternatives [1-3] have been described for correction of thenar contracture releasing. Availability of unaffected healthy skin adjacent to the finger may limit the use of local flaps such as transposition, rotation and advancement flaps. Regional flap alternatives from the uninjured parts of the hand may well be the best treatment option depending on the location of the deformity. The FDMA flap may take the advantages of wide rotation arch, constant and reliable pedicle, minimal donor-site morbidity, sensation and unrestricted hand function with early mobilization . However, in some cases ugly scar on donor site may limit the use of this flap. In this case report, we describe the use of first dorsal metacarpal artery adipofascial flap which renders acceptable donor-site scar#