Apr 2, 2016 · These two major arterial systems form the basis for direct and reverse DMA flaps (Fig. 14.1). The cutaneous perforator is very reliable and can almost always be found within …

The dorsal metacarpal artery (DMCA) flap is a versatile option in the armamentarium of the reconstructive hand surgeon, especially for resurfacing dorsal finger defects where the flap …

These flaps can be performed in different ways, as a racquet, as an island flap, and as a bilobed flap including the second metacarpal artery, among others. The aim of the following article is …

Mar 5, 2016 · Vascular basis: The flap is based on the distal cutaneous perforator of the DMA that arises at the level of the metacarpal neck in the second to fourth intermetacarpal spaces. In …

Jun 28, 2020 · The flap is based on the first dorsal metacarpal artery and usually includes the sensory branch of the radial nerve. It is suitable for all dorsal defects and is frequently used for …

The dorsal metacarpal artery (DMA) perforator flap is a vascular island flap raised on the dorsum of the hand for coverage of finger soft tissue defects. The typical application of this flap is …

Jan 27, 2024 · The dorsal metacarpal artery (DMA) flap is a vascularized skin flap from the dorsum of the hand. It can be based on the second, third, or fourth DMA and its cutaneous …

This article is helpful to show great versatility of the FDMA flap as a fascial flap and the arch that it can reach over the hand. The authors show the pivot point of the flap which allows for the …

Apr 20, 2023 · The second DMA flap with two pivot points has a long vascular pedicle, which allows the flap to easily reach the thumb defect. Because of skin texture matching, the flap is a …

Jul 25, 2023 · The reverse dorsal metacarpal artery (DMA) flap was first reported in 1997. 6 The flap is often used to reconstruct the defects on the proximal and middle phalanges. 7 To reach …