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Chirurgie de la main
Volume 34, n° 6
pages 318-321 (décembre 2015)
Doi : 10.1016/j.main.2015.07.003
Received : 2 April 2015 ;  accepted : 7 July 2015
Secondary mobilization of the first dorsal metacarpal artery flap for first web space reconstruction in a child: A case report
Mobilisation secondaire du lambeau cutané de la première artère métacarpienne dorsale pour une reconstruction de la première commissure chez l’enfant

A. Trimaille a, , N. Kerfant a, D. Le Nen b, B. Fenoll c, W. Hu a
a Service de chirurgie plastique, reconstructrice et esthétique, CHRU de Brest, boulevard Tanguy-Prigent, 29609 Brest cedex, France 
b Service de chirurgie orthopédique, traumatologique et réparatrice, CHRU de Brest, boulevard Tanguy-Prigent, 29609 Brest cedex, France 
c Service de chirurgie orthopédique pédiatrique, CHRU de Brest, 2, avenue Foch, 29609 Brest cedex, France 

Corresponding author.

The authors report the case of an iterative mobilization of a skin flap based on the first dorsal metacarpal artery. This flap was initially associated with a toe-to-hand transfer to provide adequate skin coverage in the reconstruction of a post-traumatic thumb defect in a 5-year-old child. More than 8years after initial surgery, this flap was mobilized again for recovery of the first web space opening, which was retracted. This case illustrates the possibility of remobilizing the first dorsal metacarpal artery flap to reduce donor site sequelae in children.

The full text of this article is available in PDF format.

Les auteurs rapportent le cas d’une mobilisation itérative d’un lambeau cutané, vascularisé par la première artère métacarpienne dorsale. Ce lambeau avait été initialement associé à un transfert d’orteil afin de permettre une couverture cutanée suffisante dans le cadre d’une reconstruction post-traumatique du pouce chez un enfant de 5ans. Plus de 8ans après la chirurgie initiale, le lambeau a été remobilisé pour permettre une meilleure ouverture de la première commissure rétractée. Ce cas illustre la possibilité de réutiliser le lambeau vascularisé par la première artère métacarpienne dorsale afin de minimiser les séquelles du site donneur chez l’enfant.

The full text of this article is available in PDF format.

Keywords : First dorsal metacarpal artery flap, Reconstruction, Thumb, First web space, Child

Mots clés : Lambeau, Première artère métacarpienne dorsale, Reconstruction, Pouce, Première commissure, Enfant

© 2015  Published by Elsevier Masson SAS.
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