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The innerved first dorsal metacarpal artery flap from the dorsum of the index finger was first described by Hilgenfeldt and refined by Holevich.
The innerved first dorsal metacarpal artery flap from the dorsum of the index finger was first described by Hilgenfeldt [1] and refined by Holevich [2].
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In the five patients they reported, there was no morbidity related to the donor area on the dorsum of the index finger, and flap survival was 100%.
Touch on thumb is felt on the dorsum of the index finger; however, sensation is not disturbing or interfering with the patient's activities.
Donor site morbidity was minimal with an acceptable scar on the dorsum of the index finger and adequate tendon gliding without producing an extension deficit.
These nerves provide branches to the skin of the radial dorsum of the hand and innervate the dorsum of the thumb, index and middle phalanx of the third finger.
A subcutaneous tissue flap was designed, raised and tipped over from the dorsum of the foot to cover the affected area (Fig. 2b, c).
Tongue flap surgery is based on the use of a flap constructed from the dorsum of the tongue to close a defect in the palate [2].
A soft tissue swelling originating from the dorsum of the capsule of the third MTP joint, filling the intermetatarsal space, was noted on the right side.
Another surgical approach allowing valid coverage is the first dorsal metatarsal artery island flap [5] obtained from the dorsum of the foot.
The flap was raised from the dorsum of the injured digit with a base located at the edge of the defect.
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