Abstract
INTEREST OF THE INTERMETACARPAL DORSAL FLAP IN THE TREATMENT OF DORSAL SOFT TISSUE DEFECTS OF THE LONG FINGERS: A CASE REPORT AND LITERATURE REVIEW
Ayoub Boushabi*, Hicham Aitbenali and Mohamed Shimi
ABSTRACT
The dorsal metacarpal artery flap (DMAF) emerges as a highly versatile option within the arsenal of reconstructive
hand surgery, particularly in cases of dorsal tissue loss affecting the long fingers, where viable flap alternatives are
often limited. This surgical technique aligns exceptionally well with the fundamental principles of reconstructive
surgery, such as ' to replace like with like ' replacement, and is characterized by a simple, reliable, and minimally
invasive harvesting method, thus minimizing donor site morbidity. In this report, we present a clinical case
illustrating the effectiveness of the DMAF. It involves a 70-year-old female patient with a localized squamous cell
carcinoma on the dorsal aspect of the proximal phalanx of the left ring finger. The patient underwent tumor
resection with simultaneous reconstruction using a dorsal intermetacarpal flap.
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