Surgical technique and Utility of Ulnar Para-Metacarpal Flap.
Dr. Kiyohito Naito, Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, 1129 Nagaoka, Izunokuni, Shizuoka, 410-2295 Japan. Ph: +81-559-48-3111, Fax:+81-559-46-0010. Email: knaito@juntendo.ac.jp
Introduction: In a patient with recurrent Dupuytren’s disease, we performed dermofasciectomy including the diseased skin and soft tissue, and covered the soft tissue defect using an ulnar parametacarpal flap.
Case Report: A 65-year-old man had undergone invasive aponeurectomy for Dupuytren’s contracture of the right 5th finger 3 years before, but showed recurrence about 1 year after surgery. Since a skin ulcer was noted at the site of recurrence, dermofasciectomy including the scarred skin was performed on the palmar side of the 5th finger, and the skin defect was covered with an ulnar parametacarpal flap. No recurrence has been noted for the 6 months since the surgery.
Conclusion: The ulnar parametacarpal flap, in which the vascular pedicle is easy to identify, is useful for covering a skin defect on the palmar side of the 5th finger if used as an island flap. However, a disadvantage of this flap is that it is likely to develop congestion due to poor venous return.
Keywords: Ulnar parametacarpal flap, Recurrence of Dupuytren’s disease, Dermofasciectomy.
Related Articles in Journal of Orthopaedic Case Reports
July 10, 2017 Smearing of Open Access by Predatory Journals: Difficult of being Good
September 1, 2024 Non-Vascularized Fibular Cortical Strut Graft with Intramedullary Nailing for Fibrous Dysplasia of the Proximal Radius – A Case Report
May 11, 2018 Spontaneous Retroperitoneal Hematoma Presenting as Femoral Neuropathy in a Patient on Low Molecular Weight Heparin Therapy
October 10, 2021 Report of a Case of Cold Urticaria Following Cryotherapy – Need for Screening for Untoward Effects of Cryotherapy in Physical Therapy Clinical Practice