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, Hamza Madani, Otmane Msahmi, Hicham Aitbenali, Mohammed 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.

Keywords:

Fingers - Loss of skin substance- Dorsal intermetacarpal flap - Epidermoid carcinoma.

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